Claims Technical Specialist Job in Bloomington
This job has expired.
Bloomington, Minnesota (MN)
Employer: | SFM Companies (SFM Mutual Insurance) |
Job Ref: | CLAIM001391 |
Job Type: | Full Time |
Location | |
City: | Bloomington |
State: | Minnesota (MN) |
Zip Code: | 55431 |
Description | |
In the role of the Claims Technical Specialist, you will use your knowledge of WC insurance to provide claim-related technical support to SFM's claims staff in application of policies, procedures, and claim file financial reconciliation. There is a high emphasis on supporting EDI filings, auditing of files, training and working with our IT department to identify system issues. SFM offers a robust benefit package that includes all the perks you need to navigate your work-life journey. SFM believes that our exceptional and motivated employees are our greatest strength, and we are committed to creating the best work environment. This position allows you to use your claims handling experience to improve internal procedures and develop others. Remote/hybrid work is offered for this role. Our benefits include:
The role: The Claims Technical Specialist will have a focus on the Financial & Regulatory areas for workers' compensation claims. You provide claim-related technical support to staff in application of claims management policies, practices, procedures, and claim file financial reconciliations. And, perform regular internal technical claim reviews to ensure best practices and quality standards. Responsible for state, federal, contractual and reinsurance compliance, reporting and auditing, including but not limited to EDI regulatory reporting. Reconciles financial liability on claims by auditing and working with Information Services in development of software programming to minimize errors and account for corrections. Participates in the development and delivery of claims staff training. This is a hybrid role, so some in office work is needed. Responsibilities:
We’re looking for:
Physical Requirements Regular attendance is required. Work takes place in a semi paperless environment within an office setting or home office setting, using standard office equipment such as computers, phones, and photocopiers, which requires being stationary for extended periods of time. While performing the duties of this job, the employee is regularly required to talk or hear, and maintain concentration and focus. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms and work with close vision. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds. Work is performed indoors with little to no exposure to extreme outdoor weather conditions. Travel as needed. _______________________________________________________________ The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SFM is unique in that we are small enough that your voice is heard, but has all the benefits and perks of a larger employer. We value your opinion, help you reach your goals, and make it easy for you to maintain work-life balance. Find out why our employees rate us a top employer and choose to stay and grow with us. Apply and discover why SFM employees choose to stay with SFM and make it their long-term career. Visit our careers page to learn more about working at SFM. About SFM Since 1983, our mission has been to be the workers’ compensation partner of choice for agents, employers and their workers. In that time, we’ve expanded to well over 25,000 customers in the Midwest and grown our offerings to include vocational rehabilitation, loss prevention, medical services and more. Though much has changed through the years, our focus continues to be unrivaled customer service, safety, and providing better outcomes for employers and injured workers. SFM Mutual Insurance Company and each of its parent companies, subsidiaries and/or affiliated companies are Equal Opportunity/Affirmative Action Employers. All employment decisions are made without regard to race, color, religion, sex, national origin, age, sexual orientation, marital, familial, or veteran status, medical condition or disability, or any other legally protected classification. SFM Companies, EEO/AA Employers. SFM is a participant of E-Verify. Applicants have rights under Federal Employment Laws. |
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