Claims Associate II – Workers Comp

This is a fully remote position, open to applicants in California.

📋 Description

• Assess new claims to ensure all necessary information is complete.

• Initiate first contact with claimants.

• Promptly respond to emails and phone inquiries to resolve questions or concerns.

• Efficiently process incoming mail and manage relevant documentation.

• Handle medical requests and coordinate with providers as necessary.

• Evaluate claims for closure, making decisions that foster positive outcomes.

• Oversee a caseload of workers’ compensation claims with low to moderate exposure.

• Interpret, investigate, and assess policies and coverage matters.

• Develop partnerships with customers and brokers, possibly aligning with specific accounts.

⛳️ Requirements

• Bachelor’s Degree with no prior experience required in Claims, OR High School Diploma or Equivalent with 2 or more years of experience in Customer Service, OR Zurich Certified Insurance Apprentice with an Associate Degree and no prior experience required in Claims.

• Must acquire and maintain the necessary adjuster license(s).

• Proficient in Microsoft Office applications.

• Preferred: Knowledge of the insurance industry, medical terminology, or medical billing.

• Preferred: Strong analytical and organizational skills.

• Preferred: Capacity to handle multiple tasks concurrently.

• Preferred: Excellent communication abilities.

• Preferred: Adaptability to a dynamic work environment.

• This is a remote position for a qualified candidate with experience in insurance, customer service, multi-tasking, and knowledge in medical terminology and/or medical coding in California.

• Employment sponsorship is not available.

🏝️ Benefits

• Eligibility for a short-term incentive bonus set at 5%.

• Competitive salary.

• Comprehensive benefits for employees and their family members.

• Opportunities for growth, inclusivity, and a supportive work environment.

• Merit increases may be available.