Workers' Compensation Claims Representative
Job Description
- Determine compensability and/or coverage issues for loss time workers' compensation claims.
- Effectively manage a caseload of loss time claims from numerous jurisdictions.
- Negotiate and direct settlements under management's review.
- Gather medical and factual evidence to determine compensability.
- Direct outside investigation and handle litigation files within given authority.
- Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers.
Requirements
- A minimum of 3 years of insurance carrier experience required.
- Experience handling claims in multiple jurisdictions, including TN, GA, NC, SC, AL.
- Bachelor's degree required.
- Carrier experience preferred.
- Experience in handling lost time or litigated claims.
- Familiarity with medical terminology.
- Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills.
- Excellent verbal and written communication skills needed.
Benefits
- Medical (PPO/HDHP), vision, disability, and life insurance.
- Enhanced dental plan with orthodontia coverage in addition to a standard plan.
- Generous PTO plan for all benefit-time eligible employees.
- Paid company holidays and 4 floating holidays.
- Paid parental leave.
- Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
- Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
- Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
- Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
- Voluntary benefits that include accident, critical illness, and hospital indemnity.
- Employee discount and rewards program on travel, tickets, electronics, home, and more. Apply To this Job