Senior Workers Compensation Claim Specialist

Are you an experienced insurance professional ready to take on a specialized role? MEMIC is seeking a Lost Time Claim Specialist with several years of experience handling workers’ compensation claims in New England states. 

In this role, you will manage complex lost time claims, ensure compliance with state-specific regulations, and deliver exceptional service to injured workers, policyholders, and agents. Your expertise will help maintain MEMIC’s reputation for excellence in claims management.

What You’ll Do

• Claims Management: Investigate, evaluate, and resolve medical-only claims and lost time claims.
• Communication: Serve as a point of contact for insureds, injured workers, agents, brokers, attorneys, and other stakeholders to gather necessary information and provide timely updates.
• Benefit Delivery: Administer medical and indemnity benefits in compliance with state workers’ compensation statutes and MEMIC’s best practices.
• Quality Assurance: Maintain organized and high-quality claim files in accordance with company policies and procedures.
• Managed Care Coordination: Implement Managed Care strategies, coordinate reh