The Claim Representative I prepares initial claim reports, records statements from involved parties, and maintains First Notice of Loss (FNOL) information. Processes, adjusts, and closes simple, low-level claims in a contact center setting. Being a Claim Representative I requires a high school diploma or equivalent. Incumbents may be enrolled in a formal training program or apprenticeship. In addition, Claim Representative I typically reports to a supervisor or manager. Being a Claim Representative I works under the close direction of senior personnel in the functional area. Possesses a modera ...te understanding of general aspects of the job. May require 0-1 year of general work experience.More Show Less
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SUMMARY. . This is the entry level professional claim handler. Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. . RESPONSIBILITIES/TASKS. Verifies workers’ compensation coverage of employers and injured employees. . Determines compensability under workers’ compen...
SUMMARY. . Claim Representative I. This is the entry level professional claim handler. Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority. . RESPONSIBILITIES/TASKS. Claim Representative I. Verifies workers’ compensation coverage of employers and injured employees. ...
