---
title: 'Claim Specialist II or III (NH & VT) at MEMIC'
canonical: 'https://feeny.ai/job/claim-specialist-ii-or-iii-nh-vt-memic-remote-b2qc51rk60mw'
type: 'job'
last_seen: '2026-09-08'
---

# Claim Specialist II or III (NH & VT) at MEMIC

- **Company:** MEMIC
- **Location:** Remote
- **Work type:** remote
- **Posted:** 2026-06-03
- **Last confirmed live:** 2026-09-08
- **Apply:** https://job-boards.greenhouse.io/memic/jobs/7762962003

## Job description

CANDIDATES MUST HAVE NH AND VT CLAIMS EXPERIENCE, MASS CLAIMS EXPERIENCE A PLUS.

The Claim Specialist II or III investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Conducts training classes (including research and position papers) for less experienced Claim Department Representatives. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.

Principal Duties and Responsibilities

1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution.
4. Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
5. Maintains quality claim files in accordance with appropriate best practices, and other company procedures.
6. Implements Managed Care strategies, coordinate rehabilitation or medical management, process bills, review all mail through Image Right, and monitor progress as appropriate.
7. Interacts with State and Federal Boards and Commissions, while establishing and maintaining proper reserves, as appropriate.
8. Serves as a mentor and helps prepare/train the less experienced Claim Department representatives.
9. Keeps up-to-date on State laws and Company procedures relating to various claims; educates injured worker and/or insured on same.
10. Prepares and presents files for Agent/Broker Reviews and Insured File Review.
11. Understands medical terminology and standard medical procedures as they pertain to worker’s compensation, U.S. Longshoreman’s and Jones Act claims.
12. Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
13. Maintains a working knowledge of all computer systems currently in use.
14. Travels throughout States as required to handle claims inventory assigned.
15. Continues education in claims through Associate in Claims or Claims Law (AEI) courses.

## Minimum Knowledge, Skills and Abilities

1. Three years of workers’ compensation lost time claim handling experience required.
2. Bachelor’s degree preferred.
3. Computer skills, Word, Excel and Image Right preferred.
4. Must have a valid driver’s license.
5. Strong attention to detail and strong communication skills both verbal and written.
6. Adaptable/flexible and self-directed with the ability to manage time, multiple priorities and other resources wisely.
7. Must have the ability to work effectively with other organizational team members.

Our comprehensive benefits package includes all traditional offerings such as:

- Health Insurance options, Dental Insurance options and Vision Insurance
- Employee Life Insurance/AD&D and Dependent Life Insurance options
- Short-term & Long-term Disability
- Health Savings Account with potential employer match
- Flexible Medical and Dependent Care Account
- Accident Insurance
- Critical Illness Insurance
- Employee Assistance Program
- Legal/Identify Theft Insurance options
- Long Term Care Insurance
- Pet Insurance
- 401 (k) Retirement Plan with match up to 6%, plus annual bonus based on individual & company performance.
- 5 weeks of Paid Time Off (PTO)
- 11 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

- Flextime schedules
- Paid Parental Leave
- Student loan paydown and refinancing assistance
- Educational assistance for job related courses, seminars, certifications or degrees
- One paid day every year to volunteer for your non-profit of choice
- Sit-Stand desks & daily stretch breaks

Salary range is $80-$98,000 depending on experience.

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.

## About MEMIC

## Company Overview
- **One-liner**: MEMIC is a super-regional workers’ compensation insurance specialist dedicated to improving workforce safety and compassionate care for injured workers.
- **Entity Type**: Private (Mutual Insurance Company)
- **Headquarters**: Portland, Maine, USA
- **Founded**: 1993
- **Founders**: Not publicly available (founded as Maine Employers’ Mutual Insurance Company by the state legislature)

## Core Business
- **Primary industry**: Workers’ Compensation Insurance
- **Target customers**: B2B – employers across a wide range of industries, from small businesses to large enterprises, in 46 states plus Washington, D.C.
- **Mission statement**: “To make workers’ comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety.”

## Products & Services
- **Workers’ Compensation Insurance**: Full-service workers’ comp policies sold through independent insurance agents, covering medical care, lost wages, and rehabilitation for injured workers.
- **Loss Control Services**: More than 400 loss control workshops annually for over 9,000 participants, helping employers eliminate hazards and improve workplace safety.
- **Claims Management**: Dedicated claims handling with a better than 90% on-time payment benchmark, focused on returning injured workers to the workplace.
- **Risk Management & Safety Consulting**: Partnering with employers to reduce claim costs and build safer work environments.

## Market Standing
- **Valuation/Market Cap**: Not applicable (private mutual company)
- **Key Metric**: 2024 Written Premium of $436 million
- **Notable Investors/Partners**: Not applicable (mutual company owned by policyholders); rated “A” (Excellent) by A.M. Best
- **Growth Signals**: Licensed in 46 states plus D.C.; serves more than 21,000 employers covering an estimated 300,000 employees; 500+ employees; maintains a better than 90% on-time claims payment benchmark

## Competitive Advantages
- **Specialized Focus**: Dedicated exclusively to workers’ compensation insurance, allowing deep expertise and tailored services.
- **Financial Strength**: Rated “A” (Excellent) by A.M. Best, providing stability and trust for policyholders and employees.
- **Comprehensive Safety Partnership**: Offers loss control workshops, risk management consulting, and a strong claims management process that prioritizes returning injured workers to the workplace.
- **Mutual Company Structure**: Owned by policyholders, aligning the company’s interests with those of its customers rather than outside shareholders.

## Strategic Focus
- **Vision 2030**: To become the most trusted brand for employers who believe protecting and strengthening their workforce is critical to success.
- **Growth & Expansion**: Continuing to expand its super-regional footprint (currently in 46 states + D.C.) while deepening partnerships with independent insurance agents.
- **Safety & Innovation**: Investing in loss control education, data-driven risk insights, and compassionate claims management to differentiate in the market.

## Why Work Here
- **Purpose-Driven Culture**: MEMIC emphasizes a “culture of caring” and a mission to make workers’ comp work better with compassion and partnership.
- **Core Values**: The company’s values include being Conscientious, an Expert, a Partner, Curious, Transparent, Genuine, Accountable, and Collaborative.
- **Work Environment**: Offers a mix of in-office (Portland, ME; Manchester, NH; Albany, NY) and remote roles, with a focus on teamwork and mutual trust.
- **Benefits & Stability**: Rated “A” Excellent by A.M. Best, providing job security; benefits that “give you peace of mind” according to the careers page.
- **Growth Opportunities**: Open roles span Claims, Underwriting, IT/Software Engineering, Human Resources, and Internships, indicating investment in talent development.
- **Employee Sentiment**: Described as having “down-to-earth co-workers” and opportunities that reward, with a strong emphasis on work-life balance and professional growth.

## Sources
1. [memic.com – Company Overview](https://www.memic.com/about-memic)
2. [memic.com – Quick Facts](https://memic.com/about-memic/company-overview/quick-facts)
3. [careers.memic.com – Careers at MEMIC](https://careers.memic.com/)
4. [Greenhouse – Jobs at MEMIC](http://job-boards.greenhouse.io/memic)

## Other roles at MEMIC

- [Quality Assurance Specialist](https://feeny.ai/job/quality-assurance-specialist-memic-portland-93arsskagkwq) — Portland, ME
- [Customer Service Representative](https://feeny.ai/job/customer-service-representative-memic-portland-5sywtmf98g12) — Portland, ME
- [Associate Claim Specialist](https://feeny.ai/job/associate-claim-specialist-memic-portland-p2gwc26cep8n) — Portland, ME
- [Associate Claim Specialist](https://feeny.ai/job/associate-claim-specialist-memic-portland-j07yywwe4ann) — Portland, ME
- [Underwriting Services Assistant I](https://feeny.ai/job/underwriting-services-assistant-i-memic-portland-a65n0eshsh5s) — Portland, ME
- [Senior Guidewire Integration Developer](https://feeny.ai/job/senior-guidewire-integration-developer-memic-remote-tfaxt29hhxt8)