2 Workers Compensation Specialist Jobs in Erie, PA
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Erie Insurance Group is Hiring a Workers Compensation Specialist Near Erie, PA
Department of Position: Corporate Claims Department
Work FromWithin Erie's Footprint- Remote Salary Range:$43,190.00-$68,992.00*
salary range is for thislevel and may vary based on actual level of role hired for
- This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired.Position may be eligible for an annual bonus payment.
Benefits That Go Beyond The BasicsWe strive to be Above all in Service® to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:
- Premier health, prescription, dental, and vision benefits for you and your dependents.Coverage begins your first day of work.
- Low contributions to medical and prescription premiums.We currently pay up to 97% of employees' monthly premium costs.
- Pension.We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
- 401(k) with up to 4% contribution match.The 401(k) is offered in addition to the pension.
- Paid time off.Paid vacation, personal days, sick days, bereavement days and parental leave.
- Career development.Including a tuition reimbursement program for higher education and industry designations.
Position SummaryResponsible for handling Worker's Compensation claims within designated authority, exercising discretion and independent judgement in the decision-making process on medical only claims.
The successful candidate will work from home and must live in ERIE's footprint.
This position would handle Indiana, Tennessee, and Kentucky worker's compensation medical only claims.
It is preferred to have a Tennessee Certification. (If you do not have a certification, you would need to successfully complete the certification at the next available certification class)
Kentucky workers' compensation license preferred (or successfully obtain your Kentucky license within 90 days of hire).
Duties and ResponsibilitiesHandles medical only workers' compensation claims. Investigates and determines compensability, checks coverage, establishes and maintains reserves, handles related correspondence and reports and maintains records. Reviews claim files on a regular basis and takes necessary follow up and/or closing action.
Establishes imediate contact with policyholders, claimants and medical providers. Contacts Agents as necessary.
Evaluates and resolves coverage questions, exercising discretion and independent judgement and in compliance with applicable workers' compensation law.
Receives, processes and takes appropriate action on claim-related communications, including bills, medical reports, specialist investigative reports and telephone calls. Determines claims to be paid, compromised.
Refers claim to WC Adjuster when nurse case management appears appropriate and in cases of suspected fraud.
Participates in informal presentations to Agents and Policyholders.
Assigns, monitors and controls activities of vendors in cost-effective manner.
Attends industry-related training programs to stay current on legal developments and ensure compliance with applicable laws and regulations impacting the operation of the department.
CompetenciesValues Diversity
Nimble Learning
Self-Development
Collaborates
Information Management Skills
Customer Focus
Cultivates Innovation
Job-Specific Knowledge
Optimizes Work Processes
Instills Trust
Ensures Accountability
Decision Quality
QualificationsHigh School diploma or equivalent, required.
Successful completion of Introduction to Insurance, Introduction to Claims (AIC30) and medical interpretation course preferred.
Appropriate license as required by state.
Physical RequirementsLifting/Moving 0-20 lbs; Occasional (
Lifting/Moving 20-50 lbs; Occasional (
Ability to move over 50 lbs using lifting aide equipment; Occasional (
Driving; Rarely
Pushing/Pulling/moving objects, equipment with wheels; Occasional (
Manual Keying/Data Entry/inputting information/computer use; Often (20-50%)
Climbing/accessing heights; Rarely
Nearest Major Market: Erie
Job Summary
Full Time
$61k-81k (estimate)
05/19/2024
06/04/2024
younginspiration.org
<25
The job skills required for Workers Compensation Specialist include Data Entry, Presentation, Decision Making, etc. Having related job skills and expertise will give you an advantage when applying to be a Workers Compensation Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Workers Compensation Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Workers Compensation Specialist positions, which can be used as a reference in future career path planning. As a Workers Compensation Specialist, it can be promoted into senior positions as a Workers' Compensation Administrator III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Workers Compensation Specialist. You can explore the career advancement for a Workers Compensation Specialist below and select your interested title to get hiring information.
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