Workers' Compensation Claims Associate

Responsibilities

• Evaluate and determine the compensability of workers’ compensation claims in accordance with applicable laws and company policies.
• Support early return-to-work initiatives and ensure timely delivery of benefits.
• Communicate with employers, injured workers, and medical providers to facilitate claim resolution.
• Authorize and monitor medical treatment and coordinate care with providers.
• Maintain accurate documentation of all claim activity.

Qualifications

• A high school diploma or equivalent required; a bachelor’s degree preferred.
• Strong communication and organizational skills.
• Comfortable with frequent phone communication and multitasking.
• Proficient in Microsoft Office (Word, Excel, Outlook).
• Prior experience in insurance, customer service, healthcare, or administrative roles is preferred.

Licensing Requirement

Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements.