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.
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...
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 ...
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...
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 ...
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...
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,...
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...
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...
John Hancock Financial Services, Inc. Boston, MA, 02298
Key Focus: Review incoming Claim Forms and provide administrative support to all functional units within the claims department ensuring a streamlined efficient workflow. Responsibilities: Responsible for reviewing claim forms for completeness. Ordering and follow up on requirements from vendor websites. Sending out forms via e-mail and fax to Policyholders. Process tasks within Claim Systems...
TriZetto Group Milwaukee, WI, 53201
Sign InEnglish US (English US) Thanks for your interest in careers at TriZetto. We’re always looking for the right people to help us achieve our vision to simplify healthcare for everyone. To build our team, we hire the best in the business. We take care of them, so they can give us their best work and ideas. We give them opportunities to develop their skills and leadership potential, so they ca...
American National Glenmont, OH, 44628
About Farm Family Farm Family is a group of insurance companies headquartered in Glenmont, New York, just 2 miles south of Albany, and is part of the American National family of companies. Farm Family is looking for a Senior Claim Representative to join our team! Position Description – Under the direction of Claim Management, the person in this position provides prompt efficient and courteous ...
Westfield Group, Insurance Minneapolis, MN, 55415
Sr. WC Claim Representative Location options: Minneapolis, MN or West Des Moines IA Job Summary Works within significant limits and authority on workers’ compensation claim assignments of higher technical complexity and coordination. Determines coverage/compensability and investigates, analyzes, negotiates and settles claims while delivering quality customer service in a moderate to high volume...
We are seeking a Sr. Field Claim Representative to investigate, evaluate, and estimate various losses with our Farm Bureau client members who suffer a loss from farm, home and commercial claims, with a focus on casualty claims. This position services a territory that includes Harvey, Kingman, and portions of Sedgwick counties. The successful candidate must live in the territory described. Respons...
Liberty Mutual Lawrenceville, GA
Auto/General Liability Senior Claims Representative, Commercial Insurance-56464 Description Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available ....
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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
Determines covered loss by meeting with insurers for loss inspections; investigating incidents; determining subrogation and salvage.
Enhances claims management services department and organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
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