Workers' Compensation Claims Assistant

Hybrid Work Schedule

Buffalo, NY

Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for a Workers' Compensation Claims Assistant to join our Corporate Headquarters located in Buffalo, New York.

The Workers' Compensation Claims Assistant will become part of a dedicated claims team and will focus on providing quality customer service to the claims staff, agents, insureds, claimants and other external customers.

Merchants Insurance Group, rated A- with a stable outlook by the A.M. Best Company, is proud to be one of Buffalo Business First's Best Places to Work in Western New York (2023-2025), a Fast Track company (2019-2024), and a Top Private Company (2019-2024). Merchants has been granted Ward's 50 designation as a top-performing property-casualty insurance company for four consecutive years. In October 2024, Newsweek and Statista included Merchants Insurance Group on their first-ever America's Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list.

Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 8 full days per month in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues.

Essential Duties and Responsibilities include, but are not limited to:

• Provides quality customer service by means of making first contact, communication of expectations to customers and timely responsiveness and disposition of workers' compensation medical only claims in accordance with the Standards of Performance.
• Completes timely coverage verification and thorough investigation necessary to ensure an equitable disposition of assigned complexity 1 claims.
• Performs various claim support activities as necessary to include but are not limited to completing first reports of new losses, paying/ processing medical bills, completing denial forms for bills, processing wage forms and mileage, taking provider phone calls on medical bills, requesting investigative reports and documenting the file, sending affidavits, copying files, completing and filing state forms electronically and reinsurance reporting.

Qualifications & Skills:

• Qualified candidates will have a 2 year degree or equivalent work related experience.
• 1 year previous customer service experience.
• Workers' compensation background a plus.
• Excellent customer service and computer skills.

Merchants Insurance Group Pay information:

Merchants Insurance Group offers a competitive pay scale. The actual compensation will be determined based upon experience and other factors permitted by law. The initial pay range for this position is $42,000 - $56,000.

Merchants Insurance Group Benefits:

• Welcoming and positive work environment.
• Flexible work arrangements, including flex scheduling and summer hours.
• Hybrid work schedule. The Hybrid work schedule will require 8 full days per month in the office, with the option to work the remaining days per month at home or in the office.
• Colleague Appreciation Events.
• Competitive pay scale.
• Generous paid time off package.
• Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars.
• Outstanding company bonus program.
• Tuition Reimbursement.

And many more exciting company benefits!! EOE