Claims Adjuster

The Claims Apprentice Program is an exciting opportunity for recent college graduates to launch their careers as Claims Adjusters in the Property & Casualty insurance industry. As a Claims Apprentice, you will be trained by PMA's team of claims experts and leaders, developing your skills and knowledge in workers' compensation and/or property and liability.

Job Responsibilities:

• Investigate assigned claims, determining coverage, compensability, and potential for subrogation recovery.
• Ensure timely denial or payment of benefits in accordance with jurisdictional requirements.
• Establish and implement action plans for case resolution, including medical and disability management, litigation management, negotiation, and disposition.
• Work collaboratively with PMA nurse professionals to develop and execute return to work strategies.
• Maintain a working knowledge of jurisdictional requirements and applicable case law.
• Communicate effectively with internal and external parties on claims and account issues.
• Authorize treatment based on practiced protocols established by statute or the PMA Managed Care department.
• Assist PMA clients by suggesting panel provider information in accordance with applicable state statutes.
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures.

Requirements:

• Minimum of an Associate's Degree, with a Bachelor's Degree preferred.
• 1-3 years of work and/or volunteer experience in a service-oriented setting.
• Leadership ability as demonstrated through participation in extra-curricular activities.
• Strong organizational and multi-tasking skills.
• Ability to work independently.
• Strong critical thinking skills that demonstrate analysis, judgment, and sound decision making.
• Excellent verbal and written communication skills.
• Excellent customer service skills.

PMA Companies is a leading provider of insurance and risk management solutions. We are committed to delivering exceptional service and value to our clients and customers.