JOB REQUIREMENTS: Claim Processor - Worker\'s Compensation Job Locations US-WI-Merrill \| US-WI-Milwaukee ID 20243396 Category Claim Type Regular Full-Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, our customers are at the heart of everything we do. For more than 125 years, we\'ve made it our business to protect those who serve and inspire others through our specialized insurance expertise and innovative solutions. Our customers do amazing things for the world - when we protect them, we Stand for Good. We foster a workplace where all employees are treated with dignity and respect; diversity, inclusion and belonging are woven into the fabric of our company through our customers, employees, leadership, business relationships and outreach programs. What you\'ll be doing: In accordance with application of state and federal laws and company best practices, provide claimants and insureds with clear and correct instructions regarding the claim process. Process basic claims by verifying coverage, obtaining and documenting necessary information for the claim, and issuing appropriate payments as directed. On any given day, you\'ll: I. Process newly reported claims, initiate basic claim investigation, and redirect moderate and complex claims to a higher level Claim Representative as required. II. Perform Claim Processing System entry and maintenance, including file setup, coverage verification, applicable coding, establishing reserves, and issuing payments. III. Verify coverage and determine our obligation(s) to the insured and/or claimant. IV. Review claims to determine type of claim presented, claim documentation/evidence presented, amount of claim, or amount due. V. Establish and monitor case reserves for adequacy during the life of the claim. VI. Review loss for subrogation potential and refer to the Subrogation Specialist, if appropriate. VII. Provide additional instruction to insured or request additional information. VIII. Submit necessary state filings and create and send appropriate required state notices and letters. IX. Complete the claim process by obtaining and reviewing support documentation in accordance with existing state laws and fee schedules and make appropriate payments. X. Assist other claim handlers as requested. XI. Discuss the following types of situations with your supervisor for guidance and direction: A. Coverage or claim handling questions. B. First and third claim denials or denials of claim compensability. C. Questionable coverage or liability claims or claimed dollar amounts that exceed your stated authority level. D. Lost time/indemnity claims. E.... For full info follow application link. Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/81A63FF788F94F10