Claims Professional- Work Comp

Workers? Compensation Claims Representative Professional

SFM ? The Work Comp Experts

Work somewhere you love!

Since 1983, SFM's mission has been to be the workers? compensation partner of choice for agents, employers and their workers. Our Corporate headquarters are located in Minneapolis, MN and we are considered a premier WC carrier. 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. 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 is an employee centric organization, and we believe that your success is our success

Being able to work in a collaborative environment is key to being successful at SFM. We believe that our exceptional and motivated employees are our greatest strength and we are committed to creating the best work environment to ensure your success. Our benefits are designed to promote a healthy life/career balance. Apply today and discover why SFM employees choose to stay with us.

Our benefits:
? Affordable Medical, Dental, Vision Insurance, HSA, and FSA
? Insurance waiver credit
? Flexible work environment
? Traditional and Roth 401(k) plans with company match
? Company contributions to help pay off student loans
? Monthly home internet allowance
? Free life insurance, STD &
? LTD
? Opportunities for annual gainshare bonus
? Pet insurance
? Rolling PTO policy and 9 paid holidays
? Paid parental leave
? Annual company-wide volunteer day
? Student loan payback
? Discretionary bonus program

The Role

Do you thrive on making a real difference in people's lives? Join our team and play a pivotal role in ensuring successful outcomes for all parties involved in workers? compensation claims! As a Work Comp Claims Professional Rep, you'll be at the forefront of handling workers' compensation claims, focusing primarily on the state of MN, along with some WI claims. Dive into investigations, manage claims in alignment with state statutes and best practices, and navigate the complexities of lost wages and intricate medical claims. Working on multifunctioning team is what makes SFM unique and why we are the leading Work Comp Carriers. Enjoy the flexibility of remote work. Applicants must live in one of the following locations: SD, MN, WI, or IA. MN applicants will be given preference.

At SFM, we believe in work-life balance, and are consistently ranked as a top employer. Experienced adjusters, elevate your career with us; your job title and salary will be based on the experience you offer. Your expertise will shape your position. MN claims handling experience is a plus.

Responsibilities
? Makes timely contact with all parties to a claim to gather necessary information to determine liability and fulfill regulatory, contractual, and internal reporting requirements. Applies the workers? compensation statute and case law to facts to determine compensability. Uses internal resources as required by company best practices or client servicing instructions for questionable compensability decisions and subrogation or fraud.
? Sets expectations with the injured worker and employer of wellness, stay-at-work, or return-to-work, and importance of ongoing communication between all parties.
? Authorizes payment of medical and wage loss benefits.
? Assigns, directs, and manages medical, rehabilitation and legal services pursuant to the respective business?s procedures, client service instruction and applicant state law.
? If needed, attends field visits of policyholders, agents and injured workers, with assistance as needed.
? Establishes initial and ongoing case reserves within authority level that accurately reflect file exposure in accordance with Company best practices and client reserving guidelines relating to qualitative analysis and timing.
? Communicates and educates the employer on case exposure/reserves and how to mitigate the exposure. Communicates and partners with the reinsurer regarding case exposure/reserves, high expense items and issues which impact future costs.
? Provides and documents strategy to bring cases to resolution per SFM best practices, procedures and philosophy. This is evidenced by documenting files in claim comments with 1) timely action plans; 2) pertinent facts and issues for roundtable discussions; and 3) analysis of settlement exposure.

What we would love about you!!
? Bachelor?s degree preferred.
? At least six months or more of workers compensation lost time experience. * More experienced claims handlers will be considered for a higher level if experience supports the Senior/Specialist level.
? Knowledgeable of state applicable Workers? Compensation Act and its application to claims administration.
? Knowledge and skills in state regulatory reporting.
? Strong knowledge of medical terminology, anatomy and procedures.
? Understanding of insurance finance.
? Excellent customer service and interpersonal skills.
? Good oral and written communication skills.
? Ability to effectively interact with a diverse group of customers and business.
? Ability to assimilate, understand and analyze information from a variety of sources.
? Developing skills in investigating, negotiating and settling claims.
? Ability to solve problems and drive decisions.
? Acts as a mentor to others to share knowledge.
? Strong computer skills preferably in a Windows environments.
? Effective prioritization, organization and time management skills.

Physical Requirements

Regular attendance is required. Work takes place in a semi paperless environment within an office setting, either on business premises or other remote location, 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. 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 function's of the job.

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.

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