Company Details BerkleyNet is an innovative workers compensation insurance provider that does all its business online. Our Goal? To make doing business "Ridiculously Fast. Amazingly Easy."
Responsibilities Our Claims Representative summer internship program offers interns the opportunity to work closely with claims professionals to learn and assist in all aspects of workers' compensation claims handling.
Key Functions:
• Assist in the investigation of workers' compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due
• Assist in calculating and establishing timely financial reserves and proactively manage reserve adequacy throughout claim life cycle
• Assist in recording and coding injured worker demographics, job information and accident information in company's claims management system and filing necessary forms with state regulatory agencies
• Assist in issuing timely payments to injured workers, medical providers and service vendors
• Assist in coordinating and managing medical treatment of injured workers to ensure timely rehabilitation
• Assist in settlement negotiations of claims within designated authority with injured workers and attorneys
• Gain knowledge and demonstrates an understanding of the Workers' Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions
• Identifies and manages subrogation, Second Injury Fund and joint coverage recovery opportunities
• Regularly communicates claim activity and status updates to policyholders, injured workers and other interested parties in a professional, thoughtful and tactful manner
• Notifies management and develops reports for large exposure claims and complies with reinsurance reporting requirements
• Attends and participates in claim file reviews with management and defense attorneys
• Continuously strives to improve our product and business results through innovation
Qualifications • Students pursuing a Bachelors' degree in any major will be considered
Core Competencies
• Active Learning
• Coachable
• Active Listening
• Critical Thinking
Skills/Qualifications
• Excellent written and verbal communication skills
• Strong interpersonal and relationship building skills
• Exceptional time management and organization skills
• Strong analytical and critical thinking skills
• Ability to work independently and strategically problem solve
• Ability to diplomatically manage conflict
• Ability to develop relationships within the organization and work effectively across departments
• Strong discretion and integrity in dealing with highly confidential and sensitive information
• Detail oriented
Travel Requirements
• A low level of domestic U.S. travel may be required (up to 5% of time)
Additional Company Details The Company is an equal employment opportunity employer. Additional Requirements While performing the duties of this job, the employee is regularly required to be seated for sustained periods of time; be able to use a keyboard; pick-up, pinch, or twist objects; must be able to communicate information accurately; distinguish sounds at normal levels and be able to receive information orally. The employee is occasionally required to move about the office to accomplish tasks; reach in any direction; raise or lower objects or move objects from place to place; and hold onto objects. Occasionally, the employee may need to move or exert force up to ten (10) pounds. The employee is regularly required to operate a computer and other office equipment, including a phone, copier and printer. Sponsorship Details Sponsorship not Offered for this Role
