Compassion, trusted partnerships, and relentless commitment to workforce safety
Claim Specialist II – III
Location
New Hampshire + 1 moreAll locations: New Hampshire | Vermont
Posted
11 hours ago
Salary
$80K - $98K / year
Seniority
Senior
Job Description
Claim Specialist II – III
MEMIC
• Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. • Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. • Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution. • Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling. • Maintains quality claim files in accordance with appropriate best practices, and other company procedures. • Implements Managed Care strategies, coordinate rehabilitation or medical management, process bills, review all mail through Image Right, and monitor progress as appropriate. • Interacts with State and Federal Boards and Commissions, while establishing and maintaining proper reserves, as appropriate. • Serves as a mentor and helps prepare/train the less experienced Claim Department representatives. • Keeps up-to-date on State laws and Company procedures relating to various claims; educates injured worker and/or insured on same. • Prepares and presents files for Agent/Broker Reviews and Insured File Review. • Understands medical terminology and standard medical procedures as they pertain to worker’s compensation, U.S. Longshoreman’s and Jones Act claims. • Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics. • Maintains a working knowledge of all computer systems currently in use. • Travels throughout States as required to handle claims inventory assigned. • Continues education in claims through Associate in Claims or Claims Law (AEI) courses.
Job Requirements
- Three years of workers’ compensation lost time claim handling experience required.
- Bachelor’s degree preferred.
- Computer skills, Word, Excel and Image Right preferred.
- Must have a valid driver’s license.
- Strong attention to detail and strong communication skills both verbal and written.
- Adaptable/flexible and self-directed with the ability to manage time, multiple priorities and other resources wisely.
- Must have the ability to work effectively with other organizational team members.
Benefits
- Health Insurance options, Dental Insurance options and Vision Insurance
- Employee Life Insurance/AD&D and Dependent Life Insurance options
- Short-term & Long-term Disability
- Health Savings Account with potential employer match
- Flexible Medical and Dependent Care Account
- Accident Insurance
- Critical Illness Insurance
- Employee Assistance Program
- Legal/Identify Theft Insurance options
- Long Term Care Insurance
- Pet Insurance
- 401 (k) Retirement Plan with match up to 6%, plus annual bonus based on individual & company performance.
- 5 weeks of Paid Time Off (PTO)
- 11 paid holidays
Related Guides
Related Categories
Related Job Pages
More General Jobs
• Serve as the first contact for leads through phone or email, delivering a friendly and helpful experience. 🤝 • Collect important information to understand client needs and assess how the firm can help. 📝 • Listen empathetically to individuals and guide them to appropriate resources within or outside the firm. 💬 • Complete legal forms and manage records of customer interactions. 📋 • Schedule and coordinate consultations with legal experts. 📅 • Follow up with clients to ensure their needs are met or provide additional support. 🔄 • Handle administrative tasks such as booking appointments, managing schedules, and organizing paperwork. 📑
Certified Industrial Hygienist
Copper River TechnologiesFederally recognized, Alaskan Tribal-Owned, 8(a) Certified IT cyber defense solutions & service provider.
• Conduct workplace exposure assessments for chemical, physical, biological, and ergonomic hazards (air sampling, noise monitoring, radiation surveys, etc.) • Interpret monitoring data against OSHA Permissible Exposure Limits (PELs), ACGIH Threshold Limit Values (TLVs), and other applicable standards • Develop and recommend engineering controls, administrative controls, and personal protective equipment (PPE) programs to reduce employee exposure • Ensure compliance with federal, state, and local occupational health regulations (OSHA, EPA, NIOSH, and similar agencies) • Write technical reports, exposure assessments, and compliance documentation • Develop and deliver employee training on hazard communication, respiratory protection, hearing conservation, and related topics • Manage or support industrial hygiene sampling equipment calibration and maintenance • Investigate employee health complaints and potential exposure incidents • Support audits, inspections, and regulatory agency interactions • Collaborate with EHS, project management, and site superintendents to integrate industrial hygiene practices into daily construction operations • Maintain accurate records of exposure monitoring, training, and corrective actions
Verification Specialist
SuperStaffComprehensive BPO, RPO, and Call Center Outsourcing Solutions for Growing Businesses
Role Description The Verification Specialist ensures the accuracy of patient demographic and insurance information to support efficient and compliant physical therapy services. This role involves regular communication with internal teams and patients, verifying insurance benefits, and ensuring HIPAA compliance. The position is key to maintaining smooth administrative operations and supporting high-quality patient care. Qualifications - Experience in insurance verification (healthcare setting preferred, physical therapy experience a plus). - Strong understanding of insurance terminology, benefits, and verification procedures. - Clear, professional communication skills (verbal and written) with strong phone etiquette. - Attention to detail and accuracy in all work. - Effective time management and organizational skills with the ability to prioritize. - Proficiency in computer systems and online insurance portals. - Knowledge and consistent application of HIPAA compliance standards. - Experience with electronic health record (EHR) systems. - Familiarity with medical and insurance-related terminology. - Self-motivated and able to work independently with minimal supervision. Requirements - High school diploma or equivalent required. - 6–12 months of relevant experience required; 1–3 years in healthcare or a front-office setting preferred. - Experience with EMR systems, insurance verification, and medical billing is a plus. - Knowledge of HIPAA and healthcare documentation standards preferred. Benefits - HMO with 1 free dependent upon hire. - Life Insurance. - Night Differential. - 20 PTO credits annually. - VL and SL cash conversion. - Annual Performance-Based Merit Increases and Employee Recognition. - Great Company Culture. - Career Growth and Learning. - A laptop will be provided by the company. - NIGHT SHIFT. - WORK FROM HOME. - Php 33,000 - 36,500 all in.
Clinical Diabetes Specialist
Sequel Med TechBecause people with diabetes should have the freedom to live the life they want.
• partner with a Territory Business Leader (TBL) to successfully launch a new innovative insulin pump and future Sequel products. • deliver unparalleled clinical education and product training for people with diabetes and healthcare providers. • drive product adoption and support persistent use. • formulate territory strategies and initiatives to meet/exceed territory goals. • facilitate product education and training for users of Sequel products. • promote the clinical benefits of automated insulin delivery with Sequel products. • manage all leads and opportunities in customer relations database daily.




