Work at MEMIC

Job Openings

Claim Associate

Location: Tysons Corner, VA

 

General Summary:
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).   

Responsibilities:

  • 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 attends 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.

Experience:

  • Associate’s Degree or one to three years of claims handling experience.
  • 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.

How to Apply:
 Please send your application to careers@memic.com. Our corporate recruitment team will review your application and contact you if you are a fit for our team.

 Applications should include the below:
  • Job title in the email subject line
  • Full name
  • Current location
  • Compensation requirements
  • Resume and cover letter attachments