Claims Technician-Med Only - Charlotte, NC (Hybrid)

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Selective Insurance is seeking a Claims Technician-Med Only for our Charotte, NC. This is a hybrid role with 2 days in office and 3 days remote. This role will investigate, negotiate, and conclude by settlement or denial assigned medical only claims through telephone and/or written correspondence. These duties area performed consistent with company claim's policies and procedures, prescribed authority and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Receives assigned claims, verifies coverage and determines course of action. Establishes initial reserves and sets up claims file for automated claims system. Investigates claims through telephone or written correspondence with claimants, insureds, attorneys, witnesses and others having pertinent information. Handles incoming calls and correspondence from insureds, claimants, providers and agents regarding questions or problems associated with claims. Analyzes information obtained through investigation in order to evaluate claim and determine extent of injury and compensability. Analyzes and considers contributory or comparative negligence for purposes of subrogation. Evaluates, negotiates and settle non-litigated claims within delegated authority. Receives, reviews, and approves provider bills that are directly related to the covered injury. Processes state forms, checks, drafts, releases of denial and completes reporting forms for file. Document claim files and maintain control of work through documentation or diary system. Updates MCS on a periodic basis to accurately reflect status of each assigned file. Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee’s time and a valid driver’s license. Qualifications Knowledge and Requirements Excellent written and verbal communication skills. Working knowledge of medical treatment and terms as related to medical only workers compensation claims. Critical thinking skills to assess compensability of WC claim as it relates to the facts and law regarding medical only claims. Must have valid state-issued driver’s license in good standing and be able to drive an automobile. Education And Experience High School diploma or equivalent preferred. Prefer 1-3 year of claims experience. Prefer 1-3 year of data entry experience. Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $46,000.00 - USD $59,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual’s unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences – and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #J-18808-Ljbffr