Sr. Claims Representative Jobs
Senior Claims Representative Overview
Senior Claims Representatives are responsible for completing a variety of tasks related to worker’s compensation compliance laws and claims. They may work with other supervisors or lead a team of junior representatives and clerks. Representatives are expected to interpret current workers’ compensation law to investigate and settle all claims, communicate with the State Board of Workers' Compensation about new laws and disseminate the information to employees in a timely manner. They also contact employees on a regular basis to explain workers' compensation benefits using all applicable communication methods. Senior Claims Representatives also investigate claims in a timely manner and submit reports to the appropriate worker's compensation officers. They review all injury and accident reports to determine any action, if applicable, under current worker's compensation laws. In addition, a representative is required to attend all court hearings and settlement meetings. Some companies may also require that a Senior Claims Representative train all new junior representatives and clerks. This is a full-time position that requires a Representative to commit to a minimum 40-hour work week.
Senior Claims Representative Education Requirements
Many companies require that potential candidates for this position have an associate’s or bachelor’s degree from an accredited institution. Additionally, some companies also require that candidates have a specialized workers' compensation certification. However, these requirements are usually overlooked if an applicant has the appropriate years of experience and proven knowledge of claims-handling procedures and laws. Companies often offer on-the-job training to keep representatives current with changing worker's compensation laws. Representatives can advance in this position by increasing their educational portfolio such as getting a specialized certificate or degree.
Senior Claims Representative Job Market
According to statistics, the market for Senior Claims Representatives is on the rise. There are 8,030 new positions expected to become available nationwide in the coming years, which is a 4-percent increase over the previous years. Although this bodes well for individuals seeking a career in this field, it is still a good idea to get as much education as possible before entering the market. Similar jobs that have a growing market are: Insurance Claim Investigators and Insurance Claim Clerks.
Senior Claims Representative Salary
According to current statistics, the median yearly salary for a Claims Representative is $60,000. The top 10 percentile can earn $89,800 per year, and the lowest 10 percent earn $37,000 annually.
Do you have a passion for helping others? Are you interested in vehicles? Do you have strong organizational and time management skills? Looking to accelerate your career? Our client, a leading provider of claims solutions has an exceptional career opportunity for an experienced technical adjuster! Duties: Delivering exceptional and courteous customer service Investigates moderately complex file...
Mutual of Omaha Omaha, NE, 68102
For over 100 years, Mutual of Omaha has been known nationally as a reliable, trustworthy, knowledgeable and caring company with a solid reputation built on our commitment to excellence. We are a full-service, multi-line provider of insurance and financial services products for individuals, businesses and groups throughout the United States. We are committed to providing outstanding service to our ...
AGL Sr. Claims Rep Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and serv...
Liberty Mutual Irving, TX
Sr. Inside Auto Claims Representative - Commercial Insurance-54031 Description Advance your career at Liberty Mutual - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Lines Senior Inside Au...
Responsible for management of early resolution program (ERP), loss property and general liability claims.. Serves as a primary investigator and works directly with patients to achieve early resolution. Develops and reviews policies and processes related to general liability claims, as well as potential compensable events as assigned. May assists in the intake process, investigation, and management...
ESIS Sr Auto and General Liability Claims Rep KEY OBJECTIVE: Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES & RESPONSIBILITIES: Under limited supervision, Receives assignments and reviews claim and policy information to provide background for investigation and may determine the ext...
Hennepin County Medical Center Minneapolis, MN, 55415
Hennepin County Medical Center (HCMC) offers employment opportunities in a variety of settings, including our downtown Minneapolis hospital and clinics, and neighborhood clinics throughout the metro area. We are committed to creating a culturally competent and inclusive work and care environment for patients, families, and staff, and we encourage interested applicants with bilingual and bicultural...
National General Ontario, CA, 91761
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law....
Sr. Workers' Compensation Claims Representative Warren, New Jersey Salary Open and Competitive (Commensurate with experience) + Bonus Full time/ Perm Position Receive new claim assignments. Analyze the nature of the claim to determine required investigation and handling. Determine and identify coverage issues or questions of compensability in accordance with the Claims Handling Guidelines. Pe...
Continental Western Group is looking to hire an individual experienced in adjusting moderate to highly complex commercial casualty claims including agricultural related claims. The qualified candidate must be able to handle complex coverage, liability and damage issues and manage select litigated claims. The selected incumbent can work from either our Des Moines, IA office, our Luverne, MN office ...
American International Group Charlotte, NC, 28201
Position Description Ensure data integrity for all claims handled, including confirming/obtaining claimant details (DOB, SSN, etc) and coding of injury, accident, location of accident, etc. • Contact employer, injured worker, and medical provider within 24 hours of receipt of new injury reports for thorough investigation of each claim. • Evaluate claims for compensability based on jurisdiction ...
SCAN Healthplan Long Beach, CA, 90802
PREFERRED QUALIFICATIONS: High school diploma or equivalent, required. Claims processing/examining experience or knowledge of medical terminology and standard claims coding experience. Excellent oral, written, and interpersonal skills. Previous high volume customer service experience in a managed care environment. Ability to work independently as well as on team projects and meet strict deadl...
Liberty Mutual Holding Company Inc. Irving, TX, 75061
Advance your career at Liberty Mutual - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Lines Senior Inside Auto Claims Representative, you will review and process simple and straightforward ...
Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...
ESIS Sr. Workers' Compensation Claims Rep Under the direction of the Claims Team Leader investigates and settles workers' compensation claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES & RESPONSIBILITIES: Duties include but are not limited to: · Under limited supervision, receives assignments and reviews claim and policy information to provide background ...
Description: Position Description: Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360...
UnitedHealth Group Inc Las Vegas, NV
Position Description Hours: Monday â€“ Friday, 1st shift, periodic overtime for the position may be needed Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. (sm) Flexible, Friendly,...
TITLE: Senior Claims Analyst B. KEY OBJECTIVE: The analyst will handle the notification,billing and collection of direct claims that have reinsurance associated withthem. Responsibilities include analyzing reinsurance contracts and obtaining claim information from the various business units for which ARS provides services. C. MAJOR DUTIES & RESPONSIBILITIES: Theanalyst is responsible for notifyi...
Dell Inc Lincoln, NE, 68501
Insurance Claims Operations Sr. Associate (life/annuity) - Lincoln, NE Dell, Inc. is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a Insurance Claims Operations Sr. Associate to join our team in Lincoln, Nebraska. Dell Insurance Services division is a trusted provider of end-to-end business process outsour...
Sr. Workers Compensation Claims Rep Warren, NJ, USA This position is responsible for daily claims management functions and favorable customer service. Possess technical abilities and capable of independent work on complex cases within company procedures and statutory guidelines.Maintain Excellent Customer Service Issue Denials timely 100% of the time Score 85% or higher on self-audits Refer a...
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Insurance Career Tools
Sr. Claims Representative
$33,612.00 - $78,000.00
Typical Salary for Sr. Claims Representative
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Sr. Claims Representative
Serves customers by creating claims-handling relationships; adjusting and settling claims; supporting information flow from the field to the office.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Documents claims management actions by completing reports; writing letters to insurers and account; maintaining contact with accounts; keeping territory management informed.
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
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