Our Claims Representative summer internship program offers interns the opportunity to work closely with claims professionals to learn and assist in all aspects of workers’ compensation claims handling.
- Assist in the investigation of workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due
- Assist in calculating and establishing timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle
- Assist in recording and coding injured worker demographics, job information and accident information in company’s claims management system and filing necessary forms with state regulatory agencies
- Assist in issuing timely payments to injured workers, medical providers and service vendors
- Assist in coordinating and managing medical treatment of injured workers to ensure timely rehabilitation
- Assist in settlement negotiations of claims within designated authority with injured workers and attorneys
- Gain knowledge and demonstrates an understanding of the Workers’ Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions
- Identifies and manages subrogation, Second Injury Fund and joint coverage recovery opportunities
- Regularly communicates claim activity and status updates to policyholders, injured workers and other interested parties in a professional, thoughtful and tactful manner
- Notifies management and develops reports for large exposure claims and complies with reinsurance reporting requirements
- Attends and participates in claim file reviews with management and defense attorneys
- Continuously strives to improve our product and business results through innovation