PMA Insurance Group
Account Claims Associate
October 2008 — Present
Investigate and maintain medical only and limited lost time workers' compensation claims by securing pertinent information to determine liability and settle claims. Work with simple to complex claims to manage and resolve claim issues.
Evaluate claimant eligibility, communicate with attending physician and employer and injured worker
Work with both the claimant and their physician to medically manage the claim from initial medical requests to reviewing and evaluating on going medical information.
Work directly with employers to facilitate a return to work either on a Full-time or modified duty basis
Provide consistent customer service to both our customers and claimants through timely responses to all inquiries, telephone calls and e-mails while delivering on service commitments
Manage both new claims as well as open claims equally.