This page is optimized for mobile devices, if you would prefer the desktop version just
click here
Company:
Opportunities at MEMIC
Posted: July 1, 2024
The Claim Associate investigates, evaluates, negotiates, and resolves medical only claims and a limited number of lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum).
Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
Evaluates claim exposure, negotiates and resolves claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and track adherence to plan in order to control legal expenses and assure effective resolution.
Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
Maintains quality claim files in accordance with best practices, company policy and procedures and state worker's compensation statutes.
Implements Managed Care strategies, coordinates rehabilitation or medical management, processes bills, reviews all mail through ImageRight, and monitors progress as appropriate.
Interacts with State and Federal Boards and Commissions, as appropriate.
Establishes and maintains proper reserves, as appropriate.
Keeps up-to-date on State laws and Company procedures relating to various claims as we as educates injured worker and/or insured on same.
Prepares and presents files for Agent/Broker Reviews and Insured File Review.
Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
Maintains a working knowledge of all computer systems currently in use.
Travels throughout States as required for handling claims inventory assigned.
Continues education in claims through Associate in Claims or Claims Law (AEI) courses.
Requirements:
Associate's Degree or one to three years claims handling experience preferred.
Proficient in Microsoft Office (Word and Excel).
Must have valid driver's license.
Strong attention to detail and strong verbal and written communication skills a must.
Must be flexible and self-directed with the ability to manage time and other resources wisely.
Must also have the ability to work effectively with other organizational team members.
Understand medical terminology and standard medical procedures as they pertain to worker's compensation, U.S. Longshoreman's and Jones Act claims.
Our comprehensive benefits package includes all traditional offerings such as:
Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
4 weeks of Paid Time Off (PTO)
10 paid holidays
We also offer other benefits to help foster a healthy, balance lifestyle such as:
Flextime schedules
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
On-site fitness center in Maine or fitness reimbursement
Subsidized parking
Sit-Stand desks & daily stretch breaks
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.
MEMIC's Job Applicant Privacy Notice
•
Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
Evaluates claim exposure, negotiates and resolves claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and track adherence to plan in order to control legal expenses and assure effective resolution.
Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
Maintains quality claim files in accordance with best practices, company policy and procedures and state worker's compensation statutes.
Implements Managed Care strategies, coordinates rehabilitation or medical management, processes bills, reviews all mail through ImageRight, and monitors progress as appropriate.
Interacts with State and Federal Boards and Commissions, as appropriate.
Establishes and maintains proper reserves, as appropriate.
Keeps up-to-date on State laws and Company procedures relating to various claims as we as educates injured worker and/or insured on same.
Prepares and presents files for Agent/Broker Reviews and Insured File Review.
Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
Maintains a working knowledge of all computer systems currently in use.
Travels throughout States as required for handling claims inventory assigned.
Continues education in claims through Associate in Claims or Claims Law (AEI) courses.
Requirements:
Associate's Degree or one to three years claims handling experience preferred.
Proficient in Microsoft Office (Word and Excel).
Must have valid driver's license.
Strong attention to detail and strong verbal and written communication skills a must.
Must be flexible and self-directed with the ability to manage time and other resources wisely.
Must also have the ability to work effectively with other organizational team members.
Understand medical terminology and standard medical procedures as they pertain to worker's compensation, U.S. Longshoreman's and Jones Act claims.
Our comprehensive benefits package includes all traditional offerings such as:
Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
4 weeks of Paid Time Off (PTO)
10 paid holidays
We also offer other benefits to help foster a healthy, balance lifestyle such as:
Flextime schedules
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
On-site fitness center in Maine or fitness reimbursement
Subsidized parking
Sit-Stand desks & daily stretch breaks
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.
MEMIC's Job Applicant Privacy Notice
•
Read the full job description and apply online on the recuiter's web-site
Related Job Postings
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
Travel Nurse RN - Med Surg 2 242 per week
Company:
Bestica
Posted: July 1, 2024
Bestica is seeking a travel nurse RN Med Surg for a travel nursing job in Portsmouth, New Hampshire. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, days, evenings, nights • Employment Type: Travel 829316,
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...
Dental Office Assistant - Business Assistant
Company:
Family Dental of Seabrook
Posted: June 27, 2024
Dental Receptionist - Part Time Position (Mon 7:30AM-2:00PM, Tues 7:30AM-2:00PM, Wed 7:30AM-2:00PM, Thurs, 7:30AM-2:00PM, No Friday's or Weekends) + $19-$23/hr Salary range based upon experience + Benefits!!! Family Dental of Seabrook is a thriving one doctor practice looking for a Dental
read more...
RN/ LPN/Licensed Practical Nurse UP TO $40/HR
Company:
Benchmark At Rye
Posted: July 1, 2024
Benchmark at Rye is looking for compassionate nurses to join our team! • Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. • Full Time, Part Time, and Per Diem Opportunities! • Full Time
read more...