
Associate Claims Specialist
PMA Companies
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- Pay
- $58K to $73K
- a year
- Location
- Roseville, CA
- Work style
- Remote only
- Job type
- Full time
- Posted
- Oct 15
- 1 day ago
Career path
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About the company

PMA Companies
Insurance · 1,001 to 5,000 employees
What you'll do
- The Associate Claims Specialist manages medical-only and limited lost time claims to minimize losses while providing superior customer service.
- Responsibilities include processing payments, authorizing medical treatments, and ensuring compliance with jurisdictional requirements.
What you need
- Candidates must have a high school diploma or equivalent and at least one year of workers' compensation claims handling experience.
- Proficiency in MS Office and the ability to obtain state adjusting licenses are also required.
- Education: a high school diploma
Key skills
Workers compensation claimsMedical terminologyClaims handlingCustomer serviceComplianceData entryTime managementCommunication skillsOrganizational skillsMS ExcelMS WordDecision makingDetail oriented
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Read the full posting here
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.
* Target Salary - $58,000 - $73,000
#LI-Remote
Qualifications
* 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.
* Remote position