SFM Risk Solutions is a specialized workers' compensation third-party administrator head-quartered in Bloomington, MN. We partner with self-insured employers to manage workers' compensation claims by providing expertise and superior customer service. SFM Risk Solutions is seeking a Claim Representative in our Assigned Risk Plan Team. As a Claims Representative, duties include, managing an assigned caseload; investigating and determining liability on claims of reported injury or occupational disease; determining appropriate reserving; authorizing payment of medical and wage loss benefits; and assigning, directing, and monitoring medical, rehabilitation and legal services. Participates as an active team member of a multi-functional team by proactively reducing loss costs and improving the quality of claim management by identifying claim management issues. Responds to customer inquiries. Continuously seeks effective case management working with team members and technical specialists and by following best practices, pursuing cost containment and prompt closure of claim files. Identifies trending and claims management practices that could impact the teams book of business. Interacts with team members, policyholders, agents, legal counsel, physicians, nurses, rehabilitation consultants and injured workers.SFM offers a competitive salary, comprehensive benefits package, flexible work schedule, incentive bonus plan based on company and team goals and a career-enriching environment. SFM is the proud recipient of being named a 2011 Top 100 Workplace winner by StarTribune. For additional information about SFM or to apply online, please visit our website at www.sfmic.com.EOE/AA
Minimum of three years lost time claims adjusting (workers compensation and/or casualty) experience required and can be substituted for four-year degree. Bachelors degree in insurance, risk management, business, psychology or related field preferred. Professional insurance designations (CPCU, ARM) a plus. Demonstrates a working knowledge of state applicable Workers Compensation Act and its application to claims administration. Exceptional oral communication skills in order to interact in a team environment and to collaborate with other business units and a diverse group of customers. Ability to assimilate, understand and analyze information from a variety of sources. Strong math and writing skills. Ability to investigate, negotiate and settle claims. Problem-solving and decision-making skills. Strong computer skills (preferably in a Windows environment), and the ability to work in a paperless environment. Knowledge of utilizing the internet to interact with state and regulatory agencies. Ability to work in a paperless environment with extensive computer work.
CareerBuilder - 11 months ago
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