Job Application for Senior Workers Compensation Claim Specialist at MEMIC

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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 rehabilitation plans, process medical bills, and monitor case progress.
Legal & Regulatory Compliance: Interact with state and federal boards and commissions to ensure proper reserves and compliance with laws and regulations.
Ongoing Learning: Stay updated on state laws and workers’ compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).

What You Bring

3+ years of Lost Time Claim handling experience
Strong knowledge of workers’ compensation claims and jurisdictional compliance.
Excellent verbal and written communication skills.
Must be adaptable and have the ability to manage time and priorities effectively.
Strong attention to detail and organizational skills.
Strong team player with excellent customer service skills.

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. Additionally, we are committed to providing an inclusive and accessible recruitment experience for all candidates. If you need a reasonable accommodation during the interview process, please contact us at hr@memic.com.

To ensure an equitable and authentic interview process, candidates should not use AI or chatbot tools during the live interview or phone screen. We welcome any preparation you choose to do beforehand, but all responses shared during the interview must be your own.

Note: MEMIC does not offer Stem-OPT EAD Extension for this role.

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1. Are you legally eligible for employment in this country?

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2. Will you require MEMIC immigration sponsorship now (for example H-1B sponsorship, Form I-983 training plan, etc.)?

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3. Will you require MEMIC immigration sponsorship in the future?

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5. If you are under 18, can you furnish a work permit?

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6. What is the highest level of education you have completed?

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7. What state do you reside in?

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8. Will you relocate if the job requires it?

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10. Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)?

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11. Have you entered into an agreement with any former employer or other party (such as a noncompetition agreement) that might, in any way, restrict your ability to work for our company?

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12. Have you ever been employed here before? If so, what dates?

13. I hereby certify that the information contained in the employment application I submit to Maine Employers’ Mutual Insurance Company, hereinafter referred to as (“MEMIC”) or (“the Company”) is true and complete to the best of my knowledge. I understand that material omissions or falsification of this application may result in my disqualification from consideration for employment or dismissal from employment. I understand that the information I provide will be processed in accordance with MEMIC’s Job Applicant Privacy Notice (https://www.memic.com/job-applicant-privacy-notice). understand that my employment is subject to a satisfactory check of references. I authorize MEMIC and/or its designees the right to investigate the information given and to secure additional information, if necessary. I authorize my previous employers, educational institutions and all other individuals and organizations listed in this application form to provide information about my employment, work habits and character. I agree that MEMIC, and/or its designees and my previous employers, educational institutions and all other individuals and organizations listed in this application form will not be held liable in any respect if an employment offer is not made, is withdrawn, or my employment is terminated because of furnishing necessary information incident to the employment process. I understand that MEMIC is in no way obligated to provide employment and I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time. I understand this application for employment is valid for 30 days only. Consideration for employment after 30 days requires a new application. I understand that upon offer and acceptance of a position with MEMIC, I will be required to provide documentation establishing my identity and eligibility to be legally employed in the United States. I understand that employment at MEMIC is employment at will. Employment may be terminated with or without cause at any time by me or by the Company. Terms and conditions of employment with MEMIC may be modified at the sole discretion of the Company with or without cause and with or without notice, except as may be required by law. I also understand that other than the President of the Company, no one has the authority to make any agreement for employment other than for employment at will or to make any agreement limiting the Company’s discretion to modify terms and conditions of employment. MEMIC is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person’s race, national origin, color, religion, age, gender, sexual orientation, gender identity or expression, disability, genetic information, military and veteran status, or any other protected status under applicable federal, state or local law. If you agree to the above, please type your first and last name and today's date.

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Senior Workers Compensation Claim Specialist

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