Senior Claims Representative
20 hours ago
We are seeking a highly skilled and experienced Senior Claims Representative to join our team at PMA Companies. As a key member of our claims team, 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 determine coverage, compensability, and potential for subrogation recovery.
- Develop and implement effective action plans to resolve claims, including medical and disability management, litigation management, negotiation, and disposition.
- Work collaboratively with PMA nurse professionals to develop and execute return-to-work strategies.
- Manage service vendors to achieve optimal balance between allocated expense and loss outcome.
- Stay up-to-date with jurisdictional requirements and applicable case law for each state serviced.
- Communicate effectively with internal and external parties on a wide range of claims and account issues.
- Provide exceptional customer service to clients, including face-to-face interactions during claims reviews and stewardship meetings.
- Bachelor's degree or four or more years of equivalent work experience in an insurance-related industry.
- At least 3-5 years of experience handling lost-time workers' compensation claims, with past experience in Vermont jurisdiction required.
- Associate in Claims (AIC) designation or similar professional designation desired.
- Active license required or ability to obtain license within 90 days of employment in mandated states.
- Familiarity with medical terminology and/or workers' compensation.
- Strong organizational skills, with ability to work independently and deal effectively with multiple tasks simultaneously.
- Proven critical thinking skills, with ability to analyze, judge, and make sound decisions with attention to detail.
- Strong verbal, written communication skills, and customer service skills.
- Computer literacy, including working knowledge of MS Office Product Suite.
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Senior Claim Supervisor, Auto
3 weeks ago
Montpelier, Vermont, United States Vermont Mutual Full timeJob Title: Senior Claim Supervisor, AutoAt Vermont Mutual, we are seeking a highly skilled and experienced Senior Claim Supervisor to lead our Auto Claims team. As a key member of our claims organization, you will be responsible for supervising a team of claim examiners and representatives, ensuring that all claims are handled in a timely, accurate, and fair...
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Senior Claims Specialist
23 hours ago
Montpelier, Vermont, United States PMA Companies Full timeJob Title: Senior Claims RepresentativeAs a member of our claims team, you will utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes.Key Responsibilities:Promptly investigate all assigned claims with minimal supervision, including...
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Field Claims Representative
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Senior Claim Supervisor, Auto Insurance
3 weeks ago
Montpelier, Vermont, United States Vermont Mutual Insurance Full timeJob Title: Senior Claim Supervisor, AutoAt Vermont Mutual Insurance, we are seeking a highly skilled and experienced Senior Claim Supervisor to join our team. As a Senior Claim Supervisor, you will be responsible for the direct supervision of a dedicated Personal Injury Protection and Property Damage claim adjusting unit handling the specified line of...
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Senior Claim Supervisor
2 weeks ago
Montpelier, Vermont, United States Vermont Mutual Insurance Full timeJob SummaryWe are seeking a highly experienced Senior Claim Supervisor to lead our Auto Claims team. The successful candidate will have a proven track record of managing complex claims and supervising a team of adjusters and support staff.Key ResponsibilitiesDirect and monitor the investigation, evaluation, and disposition of auto claims to ensure timely,...
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Senior Claims Specialist
12 hours ago
Montpelier, Vermont, United States PMA Companies Full timeJob Title: Sr. Claims RepresentativeAs a key member of our claims team, you will utilize your knowledge of Workers Compensation to independently investigate, evaluate, and resolve assigned claims of a more complex nature. Your expertise will be instrumental in achieving appropriate outcomes and ensuring timely resolution of claims in accordance with legal...
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Claim Representative II, Subrogation Specialist
4 weeks ago
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Field Claims Investigator
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Surety Claims Attorney
3 weeks ago
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Senior Performance Analyst
3 weeks ago
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Patient Account Specialist
2 weeks ago
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Staff Attorney II
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3 weeks ago
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Montpelier, Vermont, United States National Life Group Full timeJob SummaryThe Quality Assurance Senior Specialist – Life Underwriting is a critical role within our underwriting department, responsible for ensuring the accuracy and compliance of underwriting decisions and processes. This position involves conducting thorough audits of underwriting files, identifying trends and areas for improvement, and providing...
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IT Project Manager
18 hours ago
Montpelier, Vermont, United States Beacon Hill Staffing Group Full timeJob Title: IT Project Manager - Medicare ExpertWe are seeking an experienced IT Project Manager with a strong background in Medicare projects to lead and manage technology initiatives within our organization.Key Responsibilities:Lead the planning, execution, and delivery of IT projects related to Medicare, ensuring alignment with business goals and...
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Tax Compliance Specialist
4 weeks ago
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Tax Compliance Specialist
4 weeks ago
Montpelier, Vermont, United States State of Vermont Full timeAbout the RoleWe are seeking a highly skilled Tax Compliance Officer III to join our team at the Vermont Department of Taxes. As a key member of our Compliance Division, you will play a critical role in promoting and ensuring Vermont taxpayer compliance, with a focus on early intervention, education, outreach, and fairness.Key ResponsibilitiesCollect unpaid...