Kelly Services Claims Specialist - Workers Compensation in Southfield, Michigan
Workers Compensation Claims Representative - Southfield, MI
This is a possible temporary-to-hire position!
Shift: 8AM - 5PM
Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines.
MAJOR DUTIES & RESPONSIBILITIES:
Duties may include but are not limited to: Receive assignments.
Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, etc. to secure necessary claim information.
Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties, etc.
Sets reserves within authority limits and recommends reserve changes to Team Leader.
Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial
Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably.
Informs claimants, insureds/customers or attorney of denial of claim when applicable. Refers claims to subrogation as appropriate.
Participates in claim file reviews and audits with customer/insured and broker.
Participates in state audits as necessary
Administers benefits timely and appropriately. Maintains control of claim's resolution process to minimize current exposure and future risks
Establishes and maintains strong customer relations
2+ years of handling experience
Basic knowledge of claims handling and familiarity with claims terminologies. Effective negotiation skills.
Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds,
brokers, attorneys etc in a positive & effective manner.
Ability to self motivate and work independently
Knowledge of applicable state and local laws to Michigan with some work in Indiana.
For imediate consideration, please apply online or send resume to firstname.lastname@example.org!
Why Kelly ® ?
At Kelly Services ® , we work with the best. Our clients include 95 of the Fortune 100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
AboutKelly Services ®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook , LinkedIn and Twitter .
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm