Requisition # R890. Salary Range: $47,150 - $70,730, depending upon education and experience. Application Closes: February 19, 2025.
Job Description
We are seeking a claims specialist for our intake team.
As a claims specialist on the intake team, you will be the first point of contact for many policyholders and workers. Our team is responsible for reviewing and clearing coverage, entering initial claim data, and claim assignment for every claim that comes into SAIF.
This work takes place in a team environment with a large emphasis on customer service. To succeed in this role, you’ll need strong communication and organizational skills. You will work as a team to ensure tasks are completed timely and accurately. Strong teamwork and a willingness to learn from others is a must, as well as the capacity to process repetitive tasks.
If you are up for a challenge, this position will bring a high volume of incoming work where quality and quantity are equally important.
Note: Flexible workers may be required to travel to SAIF’s offices in Salem.
Responsibilities:
- Receive and review incoming claim requests from various submission locations.
- Screen and accurately create incoming claims within required time-frames, importing pertinent information into the system.
- Clear coverage, determine if claim has time loss, and validate if injured worker is Oregon subject.
- Review documentation and evaluate information to determine appropriate benefits.
- Contact policyholders, injured workers, medical providers, and business partners to obtain additional information when necessary.
- Clarify outstanding questions and concerns related to the initial claim submission.
- Use knowledge of Oregon statutes and administrative rules to ensure claims are set up correctly with applicable information. Maintain claim notes necessary for proper claim set up.
- Route claim to appropriate team based on complexity, geographic region, and adjuster/specialist alignment once necessary data is validated.
- Update policy records as needed.
- Enter and update claims information and documentation in claims files in accordance with SAIF policies and procedures.
- Explore diverse perspectives and consistently behave sensitively toward differences in cultural norms, expectations, and ways of communicating. Work effectively with others who have different perspectives, backgrounds, and/or work styles.
- Continually sustain the Inclusive Leadership Competencies (ILC) through the Explorer level on an annual basis.
The following qualifications are recommended:
- Two or more years of increasingly responsible administrative office experience in a high-volume work, team-oriented environment with an emphasis on customer service. Workers’ compensation claims background is helpful.
- An associate’s or bachelor’s degree is preferred.
- Other combinations of skills and experience may be considered.
Next step: To receive consideration, please submit your resume by the close of this recruitment. We want your submission to count, so be sure it’s complete.
This recruitment will close on Wednesday, February 19, 2025.
If a sufficient number of qualified applications are received this recruitment may close early.
Compensation & Benefits: Typical hiring range: $50,099 - $58,940. The pay range for this position is annually based on a full-time schedule. Actual compensation will be determined using factors such as experience, skills, training, certifications & education.
SAIF provides a wide range of benefits to employees who work at least 20 hours per week, including health care, retirement savings plans, paid time off, and more. For additional information about SAIF’s total rewards, visit our website at: Total rewards (saif.com)
*Note that eligibility and cost of benefits can vary depending on the number of regularly scheduled hours, and job status such as regular full-time, regular part-time, seasonal, or temporary employment. Full salary range: $47,150 - $70,730
Veterans: We provide preference to qualifying and disabled veterans. For more information please visit saif.com/veterans.
About us: Since 1914, SAIF has been taking care of injured workers, helping people get back to work, and keeping rates low by focusing on workplace safety. Together with our partners, we strive to make Oregon the safest and healthiest place to work.
SAIF is an Equal Opportunity Employer that values diversity in its workplace.