Job Category: Health Insurance
Job Location: Pittsburgh
Title: Lost Time Claims Specialist
Industry: Workers’ Compensation
Work Hours: Full-Time
The Claims Specialist – Lost Time is responsible for managing workers’ compensation claims within delegated authority to best possible outcome.
ESSENTIAL JOB DUTIES:
- Receives claim, confirms policy coverage and acknowledgement of the claim
- Determine validity and compensability of the claim
- Establish reserves and authorize payments within reserving authority limits
KNOWLEDGE & SKILLS:
- Excellent written and verbal communication skills
- PC literate, including Microsoft Office (Word, Excel)
- Ability to learn rapidly to develop knowledge and understanding of claims practice
- Strong organizational skills
- Good interpersonal skills
EDUCATION:
- College degree preferred, work experience can substitute for educational requirement