WC Claims Associate

Berkley Risk is a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.

Assist in the processing of workers’ compensation claims by performing technical and clerical duties as directed by the examiners.  Act as assistant to an assigned claims team.  Work within a team environment to meet time sensitive filing requirements as well as maintain a current workload.

• Request information from or provide information to the employee, employer, providers, attorneys, co-workers, MN WC Division, third parties, and others as directed. (via telephone, mail, or fax)
• Form completion
• Check issuance and related autopay entry as appropriate.
• Calculation and entry of reserves on assigned Permanently and Totally Disabled claims.
• Maintain a current diary on assigned Permanently and Totally Disabled claims.
• Determine accuracy of employee reimbursement requests.
• Accurate and timely electronic documentation of your work activity
• Resolve issues and inquiries regarding medical treatment bills.
• Resolve claims related address, coding, vendor, and accounting issues.
• Maintain organization of claim files.
• Provide professional customer service to all internal and external customers.
• Additional duties as necessitated by changes in staffing and workflow.

May perform other functions as assigned.

• Minimum one-year work experience or post-high school education.
• Work experience should demonstrate organizational skills, time management skills, multi-tasking skills, verbal and written skills, and detail-orientation.
• Basic PC skills and a working knowledge of Windows environment.
• Ability to type 40 wpm
• 10-Key by touch
• Knowledge of basic math functions with 98% accuracy.

Education

• High school diploma or GED