As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service.
Responsibilities:
- Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up
- Process payments, answer phone calls, authorize treatment associated with Medical Only claims
- Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up
- Determine whether treatment is appropriate and causally related to the compensable injury
- Redirect treatment to network physicians as appropriate
- Refer subrogation potential claims or potential permanency claims to Supervisor
- Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable
- Maintain a working knowledge of jurisdictional requirements and obtain/maintain state adjusting licenses
- Administer benefits on Permanent Total or Death cases, which includes monitoring for changes in life or work status, implied interest in resolution or marked increases in costs.
- Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
- High school diploma or equivalent
- One or more years of Workers Compensation claims handling experience
- License required or ability to obtain license within 90 days of employment in mandated states -FL, GA, AL
- Familiarity with medical terminology
- Ability to work independently, handle multiple tasks simultaneously, make difficult decisions and focus on details
- Strong organizational skills
- Excellent verbal and written communication skills
- Proficiency MS Excel and MS Word.
Skills Required
- High school diploma or equivalent
- One or more years of workers compensation claims handling experience
- Adjusting license or ability to obtain one within 90 days in mandated states including Florida, Georgia, and Alabama
- Familiarity with medical terminology
- Ability to work independently and handle multiple tasks simultaneously
- Ability to make difficult decisions and focus on details
- Strong organizational skills
- Excellent verbal and written communication skills
- Proficiency with Microsoft Excel and Microsoft Word
PMA Companies Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about PMA Companies and has not been reviewed or approved by PMA Companies.
-
Leave & Time Off Breadth — Time off is described as generous, with a sizable PTO bank and a broad paid-holiday schedule. Feedback suggests the ability to accrue and use substantial leave is a standout element of the package.
-
Retirement Support — Retirement support includes a 401(k) with company contributions and immediate vesting on certain employer dollars. Profit-sharing and automatic eligibility are positioned as meaningful additions to total rewards.
-
Flexible Benefits — Benefits are organized in a cafeteria-style format with multiple medical plan choices, HSA options, FSAs, and a broad set of voluntary coverages. Feedback suggests this flexibility enables tailoring coverage to individual needs.
PMA Companies Insights
What We Do
PMA Companies provides risk management solutions and services, specializing in workers’ compensation and offering property & casualty insurance, in the United States. Headquartered in Blue Bell, PA, PMA Companies is a member of Old Republic Companies. Old Republic International Corporation (NYSE: ORI) is one of the nation’s 50 largest publicly held insurance organizations. PMA Companies includes: PMA Insurance Group, specializing in workers’ compensation, and providing other commercial property & casualty insurance products; and PMA Management Corp. and PMA Management Corp. of New England, providing results-driven TPA and Risk Services specializing in workers’ compensation and liability. We maintain a large client retention rate of 90% or higher and a client satisfaction rate of 96% per an independent survey. At PMA, we still build relationships the "old-fashioned way." Our clients know we care. They know we say what we do and do what we say. And they know that they can count on us to deliver tangible value to their business and to work passionately on their behalf.
.png)
