Claims Representative

US-VA-Manassas
ID
2017-1379
# of Openings
1
Department
Claims

Overview

Curious negotiators who always go for the win-win.

 

Work on a team that provides world-class claim management and managed care solutions.

 

You will utilize intelligent technology to deliver interactive risk management solutions. 

 

As a Claims Representative, you will deliver BerkleyNet’s fast and easy customer experience, while investigating claims and negotiating the best outcome for both sides.

 

As a member of the Claims team, you will have a strong impact on our bottom line. Success in your role means success for the company. 

 

Who we are…

 

BerkleyNet is an innovative and leading provider of workers compensation insurance and services.  We were started in 2006 with the goal of delivering an easier solution for customers - driven by speed and simplicity.  Since that time, we've developed a national presence and are recognized for our "Ridiculously Fast, Amazingly Easy" approach to workers compensation.  If you are looking to join a fast-paced, energetic and passionate team with room for professional growth and development - BerkleyNet may be a great fit for you.

 

The BerkleyNet Way is…

 

  • Fearlessly explores new paths
  • Generates solutions and positive energy
  • Be a community builder
  • Be an original
  • Embrace ownership and adaptability
  • Responsiveness is our reputation
  • Communicate openly and share knowledge
  • Integrity is non-negotiable

Responsibilities

 

  • Research learn and apply worker's compensation statutes
  • Investigate claims as reported and determine eligibility for benefits and administer benefits as warranted
  • Address client issues and respond to inquiries promptly
  • Manage the progression of the claims process through collaboration with physicians, nurses, attorneys and other parties as needed
  • Analyze and process claims with the ability to have ownership of policy and claim transactions
  • Translate data and understand department processes, functionality and requirements
  • Maintain compliance with federal and state regulations
  • Must be able to work independently and within a team environment
  • Performs other related duties as required and assigned

Qualifications

  • Must possess a Bachelor’s Degree or equivalent work experience
  • Ability to maintain a current adjuster license
  • Possess strong quantitative, analytical and problem-solving skills
  • Ability to understand department processes, functionality and requirements
  • Must be customer focused, have a great phone presence, courteous and exercise good judgment
  • Must have excellent verbal and written communication and interpersonal skills
  • Great organization and time management skills with the ability to handle and adhere to team schedule

Preferred

  • Degree or course work in business law and/or risk management
  • Experience in insurance industry or claims management
  • Exposure to vendor management

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