Workers' Compensation Claim Representative I (Early Talent) - Eastern Alliance

Workers' Compensation Claim Representative I (Early Talent) - Eastern Alliance ProAssurance – Charlotte, NC Full Time An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry‑leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers' compensation line of business, Eastern Alliance, and is hybrid, reporting to our Charlotte, NC or Ridgeland, MS office locations approximately twice per month. This opportunity is available because Eastern Alliance is growing its Claims team. Responsibilities 45% – Complete ongoing claim management activities proactively and with a sense of urgency in accordance with the ecovery® Return to Wellness philosophy to execute the established plan of action and achieve favorable outcomes for all parties. Maintain, cultivate, and develop high quality, collaborative working relationships with all parties, including injured workers, agents, customers, and co‑workers. Maintain regular contact by telephone and correspondence with all parties. Seek complete information necessary to manage claims and achieve favorable outcomes. Respond to inquiries in a timely, courteous, and professional manner. 30% – Promptly investigate all assigned claims to establish trust and rapport with all parties, accurately assess coverage, determine the nature and extent of the injuries sustained, and reinforce Return to Wellness expectations. Make fair and timely determinations of compensability. Demonstrate empathy, professionalism, integrity, and objectivity at all times. Prepare reports and forms as required by jurisdictional regulations and by the Company's established procedures. Promptly establish and maintain case reserves that accurately reflect the anticipated financial exposure on each claim; revise reserves promptly based on changes in facts and circumstances. Identify subrogation potential. 15% – Manage Return to Wellness initiatives by working collaboratively with agents, clients, risk managers and underwriters to ensure proper return to work guidelines and procedures are established, followed and achieved. 5% – Attend business unit, department and company meetings. 5% – Assist with Company projects as assigned and continue professional growth and development through the attendance and participation in insurance related events/functions, seminars, classes and conferences. Qualifications Bachelor's degree is preferred; a HS Diploma/GED with a minimum eight years of experience working in a medical, legal or insurance environment can replace the bachelor's degree requirement. Basic knowledge of medical terminology, common medical procedures and treatments is preferred. Some knowledge of applicable state laws and industry standards is preferred. Proficiency in Microsoft Office computer applications, including Word and Excel, and ability to learn new computer software applications. Attention to detail in processing all information, establishing priorities and meeting deadlines. Ability to handle multiple priorities simultaneously. Excellent organization and time management skills. Excellent analytical and problem‑solving skills, including analyzing and interpreting large amounts of information and formulating logical, objective conclusions based upon the facts. Ability to assess the urgency and importance of a situation and take appropriate action. Empathic listener with the ability to listen and respond to another person in a way that engenders mutual understanding and trust. Ability to communicate effectively and professionally both verbally and in writing with various constituencies and at all levels, both in and outside of the organization, including agency partners, customers, injured workers and providers. Ability to maintain confidential information. Ability to operate standard office equipment including, but not limited to copiers, printers, etc. Ability to attend insurance and industry/business functions to promote and present a positive image of the Company. One year of experience managing medical‑only workers' compensation claims. Position Salary Range $50,069.00 – $82,622.00 – The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role. Benefits ProAssurance offers a best‑in‑class benefits program. The position is hybrid, allowing you to work from home and in our offices located in Charlotte, NC or Ridgeland, MS approximately two times per month. #J-18808-Ljbffr Proassurance