Tpa Claims Specialist I/ii - South Portland, United States - USI Holdings Corporation

USI Holdings Corporation

Verified Company

South Portland, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

General Description:
Adjust non lost-time claims for workers compensation

Responsibilities:

Knowledge of claims function and processes.
Ability to effectively communicate with internal and external customers.
Understanding of workers compensation or disability claims management, strategies, resolution techniques and adjusting.
Technical/administrative capability to enter first reports of injury and to adjust non lost time claims utilizing the features of the TPA claim management systems.
Participates in claim advocacy and negotiation, including claim denials, reserving files, and claim reporting, issuing payments and filing of state forms.
Determine compensability of the claim as it relates to the worker compensation jurisdiction.
Review and approval of medical services to be paid of the claims file.

Knowledge, Skills and Abilities:

College degree preferred but high school diploma or graduate equivalent degree required.
Proficient in MS Office suite of products.
Strong written and oral communication skills.
Ability to work well in a team environment.
Must have a capacity for analytical thinking and strong problemsolving skills.
Strong organizational skills required.

Why USI?

With more than $2.5 billion in revenue and over 10,000 associates across 200+ offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our oneofakind employee reward and recognition programs. We invite you to learn more about what makes USI an exceptional place to work

Unrivaled Resources and Support

What truly distinguishes USI as a premier insurance brokerage and consulting firm is the USI ONE Advantage, a gamechanging value proposition that delivers to clients a robust set of risk management and benefit solutions with bottomline financial impact. USI ONE represents Omni, Network, Enterprise—the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.

Industry-Leading Programs, Rewards, and Recognition

In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers employee programs that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our awardwinning wellness program, college scholarships for associates' children, and financial help in times of need.

Deep Community Engagement

We are committed to giving back to our local communities and supporting a culture of environmental sustainability. From sharing our time, talent, and resources to support local nonprofit organizations, animal shelters, and environmental beautification and restoration projects to partnering with ecoconscious vendors and taking steps to reduce our own environmental footprint we're working together as ONE to build a better future.

Committed to a Diverse, Equitable, and Inclusive Workplace

Our awardwinning I'm With U diversity, equity, and inclusion program educated our associates to help them better understand and serve our clients, prospects, fellow team members, and local communities through curated education and training resources, employee support programs, and community outreach initiatives to build a more diverse, equitable, and inclusive culture.

Nationally Recognized as a Top Insurance Employer

Recognized as one of Insurance Business America's Top Insurance Employers for six consecutive years
Named to Business Insurance's annual list of the Best Places to Work in Insurance four years in a row
Recipient of the American Heart Association's Gold Status for a maintaining a culture of health and wellbeing five years in a row
Visit our Awards and Accolades page for a complete list of industry awards and recognitions
USI is committed to providing a fullsuite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and longterm disability, life insurance and other unique employersponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time_._

Job ID:
28218