Claims Analyst, WC
Crum & Forster Insurance Co - Milwaukee, WI

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Workers Compensation Claims Analyst

Summary:

Under general supervision, handles Worker's Compensation claims.

Responsibilities:

- Verify coverage
- Identify coverage and compensability issues and conduct limited investigations
- Identify subro, second injury fund and fraud situations and develop information to pursue
- Maintain proper file on all activities and issues
- Obtain medical records relating to the claim
- Review claim for necessity and relatedness
- Provide case management to files with ongoing treatment using authorized outside resources where needed
- Prepare and submit appropriate State and Agency forms timely
- Address questions, concerns and issues from outside parties: insureds, agents, state agencies, injured employees, attorneys
- Provide superior customer service to agents, insureds and others during the claims handling process
- Accountable for the accurate determination of the proper amount due the insured or claimant within the assigned authority limits and for compliance with company policies and procedures

Requirements:

- High School Diploma or equivalent
- Experience in a claims support position or assistant position with demonstrated achievement, interest and potential beyond clerical duties
- Good oral and written communication skills
- Previous claims experience is not necessary.

Crum & Forster - 19 months ago - save job - block