Responsibilities

Receives assigned lost time claims for investigation to determine coverage andpensability on claims with a short disability period of 8 weeks or less (could occasionally exceed 8 weeks). Processes claims which include the following activities: Making contacts, setting reserves, establishing file in MCS, evaluating exposure, and establishing initial and subsequent reserves on less severe claims with a general exposure of less than $25,000, and analyzing investigational data. Makes timely payments and follow through to resolution. May occasionally handle claims that exceed $25,000. Documents claim files and maintains control of work through documentation or diary system. Handle non-litigated claims only. File state forms timely in accordance with statutory guidelines. Collaborate with nurses and vendors on medical and disability management. Prepare for and participate in claims review and settlement conferences. Ensurespliance withpany, state, and federal regulations.

Qualifications

Knowledge and Requirements Knowledge of workerspensation statutes, coverage, and case law. Excellent written and verbalmunication skills. Working knowledge of medical treatment and terms as related to medical only workerspensation claims. Critical thinking skills to assesspensability of WC claim as it relates to the facts and law.

Education and Experience 1-3 years of claim handling experience. Knowledge of workerspensation statutes, coverage and case law. Excellent written and verbalmunication skills. Working knowledge of medical treatment and terms as related to medical only workerspensation claims. Critical thinking skills to assesspensability of WC claim as it relates to the facts and law.

Total Rewards

Selective Insurance offers a total rewards package that includes apetitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits includeprehensive health care plans, retirement savings plan withpany match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and paid time off plans. Additional details about our total rewards package will be provided during the recruiting process.

The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.

Pay Range

USD $55, - USD $83, /Yr. Additional Information

Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We aremitted to promoting a weing culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. Job ID 3783