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 experience required.
• Experience handling claims in multiple jurisdictions.
• Bachelor's degree required.
• SIP Certification 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.
• 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 experience required.
• Experience handling claims in multiple jurisdictions.
• Bachelor's degree required.
• SIP Certification 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.