Associate Claim Specialist

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

This position is in-office for the first six weeks then can transition to hybrid.

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