Claim Specialist

MEMIC(1 month ago)

HybridFull TimeSenior$124,112 - $166,285 (estimated)Claims

About this role

A Claim Specialist III is a mid-level workers’ compensation claims professional responsible for managing lost time claim files and ensuring compliance with applicable laws and company procedures. The role carries increased authority over reserving and settlement decisions, includes mentoring less experienced staff, and requires experience handling complex caseloads with limited supervision.

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Required Skills

Claims Investigation
Claims Negotiation
Claims Resolution
Communication
Benefits Administration
Litigation Management
Case Management
File Maintenance
Managed Care
Medical Terminology

+3 more

Qualifications

Bachelor's Degree Preferred
Valid Driver's License

About MEMIC

memic.com

The MEMIC Group is a Portland, Maine–based provider of workers’ compensation insurance focused on workplace safety and loss prevention for employers. It delivers coverage alongside claims management, return-to-work programs, and online policy services such as billing, e-bill enrollment, and payment options. MEMIC also offers employer tools like provider locators, 24/7 injury triage and telehealth, and portals for reporting and managing claims. Employers rely on MEMIC for its integrated safety emphasis and digital services that simplify billing, claims and compliance.