Account Claims Associate II

7 hours ago


Glastonbury, United States PMA Companies Full time
Account Claims Associate II #4341 Multiple Locations Apply for this job now Job Description:

As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service.

Responsibilities:

  • Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up
  • Process payments, answer phone calls, authorize treatment associated with Medical Only claims
  • Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up
  • Determine whether treatment is appropriate and causally related to the compensable injury
  • Redirect treatment to network physicians as appropriate
  • Refer subrogation potential claims or potential permanency claims to Supervisor
  • Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable
  • Maintain a working knowledge of jurisdictional requirements and obtain/maintain state adjusting licenses
  • Administer benefits on Permanent Total or Death cases, which includes monitoring for changes in life or work status, implied interest in resolution or marked increases in costs.
  • 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:
  • High school diploma or equivalent
  • One or more years of Workers Compensation claims handling experience
  • License required or ability to obtain license within 90 days of employment in mandated states
  • Familiarity with medical terminology
  • Ability to work independently, handle multiple tasks simultaneously, make difficult decisions and focus on details
  • Strong organizational skills
  • Excellent verbal and written communication skills
  • Proficiency MS Excel and MS Word.
Locations Glastonbury Hartford New Haven Norwalk Stamford Wallingford Boston De Witt Rochester Providence
  • Claims Associate II

    3 weeks ago


    Glastonbury, Connecticut, United States PMA Companies Full time

    Job SummaryWe are seeking a highly skilled Claims Associate II to join our team at PMA Companies. As a Claims Associate II, you will play a critical role in managing medical only and limited lost time claims, as well as permanent total claims, to minimize losses and provide exceptional customer service.Key ResponsibilitiesContact accounts on First Notices of...

  • Claims Associate II

    7 days ago


    Glastonbury, Connecticut, United States PMA Companies Full time

    As a Claims Associate II at PMA Companies, you will play a key role in managing medical only and limited lost time claims to minimize losses and provide superior customer service.Key Responsibilities:Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-upProcess payments, answer phone calls, authorize treatment...

  • Account Claims Rep II

    4 weeks ago


    Glastonbury, United States PMA Companies Full time

    Account Claims Rep II #4340 Multiple Locations Apply for this job now! Job Description: As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve...

  • Claims Associate II

    2 weeks ago


    Glastonbury, Connecticut, United States PMA Companies Full time

    As a key member of our Claims team at PMA Companies, you will play a critical role in managing medical only and limited lost time claims to minimize losses. Your expertise will also be applied to permanent total claims to ensure effective management and superior customer service.Responsibilities:Proactively contact accounts on First Notices of Loss to obtain...


  • Glastonbury, Connecticut, United States INTEGRIS Group Full time

    Job Title: Senior Claims RepresentativeWe are seeking a highly skilled Senior Claims Representative to join our team at Integris Group. As a Senior Claims Representative, you will be responsible for handling a caseload of complex medical professional liability claims, working closely with our insureds, defense counsel, and other stakeholders to resolve...


  • Glastonbury, Connecticut, United States Integris Group Full time

    Job Title: Senior Claims RepresentativeWe are seeking a highly skilled Senior Claims Representative to join our team at Integris Group. As a Senior Claims Representative, you will be responsible for handling a caseload of complex medical professional liability claims, providing support to the operations of the Claims Department, and collaborating with other...


  • Glastonbury, Connecticut, United States Integris Group Full time

    Job Title: Senior Claims RepresentativeWe are seeking a highly skilled Senior Claims Representative to join our team at Integris Group. As a Senior Claims Representative, you will be responsible for handling a caseload of complex medical professional liability claims and supporting the operations of the Claims Department.Responsibilities:Investigate and...


  • Glastonbury, Connecticut, United States Integris Group Full time

    Job Title: Senior Claims RepresentativeWe are seeking a highly skilled Senior Claims Representative to join our team at Integris Group. As a Senior Claims Representative, you will be responsible for handling a caseload of complex claims and supporting the operations of the Claims Department.Responsibilities:Investigate and evaluate medical professional...


  • Glastonbury, Connecticut, United States Integris Group Full time

    We are seeking a highly skilled Senior Claims Representative to join our team at Integris Group. As a key member of our Claims Department, you will be responsible for handling a caseload of complex medical professional liability claims. Your primary responsibilities will include investigating, evaluating, and resolving claims brought against our insureds....


  • Glastonbury, United States Strickland Insurance Group Full time

    Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A+. ACIC has been certified a "Great Place to Work" for the last 3 years and on Fortune's "Best Place to Work" list of the top 100 best small and medium companies to work. With...


  • Glastonbury, Connecticut, United States PMA Companies Full time

    Job SummaryWe are seeking a skilled Claims Resolution Specialist to join our team at PMA Companies. As a Claims Resolution Specialist, you will be responsible for investigating, evaluating, and resolving complex workers' compensation claims in a timely and efficient manner.Key Responsibilities:Investigate and evaluate complex workers' compensation claims to...


  • Glastonbury, United States INTEGRIS Group Full time

    Work for a company that values you Integris Group is a medical professional liability insurance carrier. We put our talents to work protecting dedicated physicians and their practices. Headquartered in Glastonbury, Connecticut and Jacksonville, Florida, we insure health care professionals in 22 states across the New England, Mid-Atlantic, and Southeast...


  • Glastonbury, Connecticut, United States Kelly Full time

    Job Title: Senior Claims Specialist/Customer Service Representative (Bilingual)We're seeking a Senior Claims Specialist to work at a premier client in Glastonbury, CT. This role involves answering phones and responding to program staff and client inquiries, processing working queues for unacknowledged work, premium payments, reimbursements, and client...


  • Glastonbury, Connecticut, United States Strickland Insurance Group Full time

    Job SummaryWe are seeking a highly skilled Claims Adjuster III or IV to join our team at Atlantic Casualty Insurance Company. As a key member of our claims team, you will be responsible for managing the settlement of complex, high-value claim and suit files independently.Key ResponsibilitiesAnalyze and interpret policies to resolve coverage and assess...


  • Glastonbury, United States Integris Group Full time

     Work for a company that values you!Integris Group is a medical professional liability insurance carrier. We put our talents to work protecting dedicated physicians and their practices. Headquartered in Glastonbury, Connecticut and Jacksonville, Florida, we insure health care professionals in 22 states across the New England, Mid-Atlantic, and Southeast...


  • glastonbury, United States Integris Group Full time

     Work for a company that values you!Integris Group is a medical professional liability insurance carrier. We put our talents to work protecting dedicated physicians and their practices. Headquartered in Glastonbury, Connecticut and Jacksonville, Florida, we insure health care professionals in 22 states across the New England, Mid-Atlantic, and Southeast...


  • Glastonbury, United States Integris Group Full time

     Work for a company that values you!Integris Group is a medical professional liability insurance carrier. We put our talents to work protecting dedicated physicians and their practices. Headquartered in Glastonbury, Connecticut and Jacksonville, Florida, we insure health care professionals in 22 states across the New England, Mid-Atlantic, and Southeast...


  • Glastonbury, Connecticut, United States The Amynta Group Full time

    We are seeking an Underwriting Associate to join our team at The Amynta Group. In this role, you will be responsible for handling primary underwriting duties, including new business, renewal, and program underwriting. You will also be responsible for claim intake, including setup, assignment, and filing of initial claim documents.Additional responsibilities...


  • Glastonbury, Connecticut, United States The Amynta Group Full time

    Job SummaryWe are seeking a highly skilled Underwriting Associate to join our team at The Amynta Group. As an Underwriting Associate, you will be responsible for handling primary underwriting duties, including new business, renewal, and program underwriting. You will also be responsible for claim intake, closing, and filing of initial claim documents....


  • Glastonbury, Connecticut, United States Smith Brothers Insurance Full time

    Job SummaryWe are seeking an experienced Account Manager to join our Large Commercial Lines team at Smith Brothers Insurance. As an Account Manager, you will be responsible for nurturing client relationships and managing all aspects of daily service for commercial insurance policies.Key Responsibilities- Nurture client relationships and manage all aspects of...