Associate Claim Specialist

 

Location: Portland, Maine
Company: MEMIC – Trusted Workers’ Compensation Insurance Provider

About MEMIC

At MEMIC, our mission is to make workers’ compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values—Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent—drive everything we do. For over 30 years, we’ve been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services.

Job Overview: Associate Claim Specialist

Are you looking to build a career in insurance claims management? Join MEMIC as an Associate Claim Specialist and be part of a team dedicated to providing fair, accurate, and compassionate claims resolution. In this role, you will investigate, evaluate, and manage medical-only and low-complexity lost time claims, ensuring injured workers receive appropriate care and benefits while supporting policyholders and agents.

With on-the-job training and opportunities for growth, this role is an ideal starting point for individuals seeking to develop expertise in workers’ compensation claims.

Key Responsibilities

• Claims Management: Investigate, evaluate, and resolve medical-only claims and low-complexity 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).

Qualifications

• No prior experience required—MEMIC provides comprehensive on-the-job training.
• Strong attention to detail and excellent verbal and written communication skills.
• Proficiency in Microsoft Office Suite (Word and Excel).
• Self-motivated, flexible, and capable of managing time and priorities effectively.
• Ability to collaborate and build relationships with cross-functional teams.
• Valid driver’s license required.
• Must obtain required adjuster licenses within six months of hire (or sooner as directed).

Why Join MEMIC?

At MEMIC, we value our employees and offer an exceptional benefits package to support your well-being and professional development, including:

• Health & Wellness: Health, dental, and vision insurance, plus access to a fitness center (Maine office only) or reimbursement.
• Financial Security: 401(k) retirement plan with up to 6% match, profit sharing, and life insurance.
• Paid Time Off: Four weeks of PTO and 11 paid holidays.
• Education & Career Growth: Student loan paydown assistance, tuition reimbursement, and professional development opportunities.
• Work-Life Balance: Flexible schedules, sit-stand desks, and paid volunteer days.

Join MEMIC Today!

Ready to make an impact in workers’ compensation insurance? As an Associate Claim Specialist, you’ll play a critical role in ensuring injured workers receive the support they need while helping businesses thrive.

MEMIC is committed to fostering a diverse and inclusive workplace. We are an equal opportunity employer, encouraging applicants of all backgrounds and identities to apply.

Apply today and launch your career with MEMIC, where safety and compassion are at the heart of everything we do.

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. MEMIC is an equal opportunity employer encouraging diversity in the workplace. 

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