Claims Apprentice - Workers Compensation
PMA Companies

Boston, Massachusetts

Posted in Insurance


This job has expired.

Job Info


The Claims Apprentice Program is an exciting opportunity for recent college graduates interested in a career as a Claims Adjuster in the Property & Casualty insurance industry. As a Claims Apprentice, you will be trained by PMA's team of claims experts and leaders. Over the course of the program, you will develop your skills and knowledge in the area of workers' compensation and assume a caseload of claims of increasing complexity.

Claims Apprentice opportunities will be available in Blue Bell PA, Mount Laurel NJ, Syracuse NY, Hunt Valley MD, Atlanta GA, Tampa FL, Wallingford CT, Schaumburg IL and Roseville CA. These positions will start off as remote positions and may be expected to work in one of our offices once our buildings re-open post pandemic.
Essential Functions

  • Promptly investigate assigned claims. Determine coverage, compensability, potential for subrogation recovery,
    and second injury fund (when applicable).
  • Ensure timely denial or payment of benefits in accordance with jurisdictional requirements.
  • Within granted authority, establish appropriate reserves with documented rationale, maintain and adjust reserves
    over the life of the claim to reflect changes in exposure. Negotiate claims settlements within granted authority.
  • Establish and implement appropriate action plans for case resolution including medical and disability
    management, litigation management, negotiation and disposition.
  • Work collaboratively with PMA nurse professionals to develop and execute return to work strategies.
  • Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced.
  • Communicate effectively with internal and external parties on a wide variety of claims and account issues.
  • Authorize treatment based on the practiced protocols established by statute or the PMA Managed
    Care department.
  • Assist PMA clients by suggesting panel provider information in accordance with applicable state statutes.
  • Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.


Requirements:
  • Bachelors' degree required.
  • 1-3 years of equivalent work experience, in a service-oriented role, is preferred.
  • Familiarity with medical terminology and/or Workers' Compensation preferred.
  • Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously.
  • Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details.
  • Excellent verbal and written communication skills.
  • Excellent customer service skills gained through previous work experience.
  • Ability to remain calm under duress and maintain a professional demeanor at all times.
  • Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint and an ability to learn PMA's Claims system.
  • Willingness to travel for business purposes; Travel less than 10%.


This job has expired.

More Insurance jobs


PacificSource
Boise, Idaho
Posted about 2 hours ago

PacificSource
Tacoma, Washington
$56,217.68 - $95,570.05 per year
Posted about 2 hours ago

PacificSource
Springfield, Oregon
Posted about 2 hours ago

Get Hired Faster

Subscribe to job alerts and upload your resume!

*By registering with our site, you agree to our
Terms and Privacy Policy.