Workers Compensation Claims Examiner

Responsibilities

• Manage a desk and caseload of workers’ compensation claims in an efficient and professional manner
• Investigate claims thoroughly, including coverage, liability, and exposure analysis
• Evaluate claim exposure and maintain accurate and timely reserves
• Manage litigation activity and coordinate with defense counsel as needed
• Evaluate claims for settlement and negotiate resolutions with claimants and attorneys
• Monitor and manage medical treatment activity and claim progression
• Maintain accurate, timely, and organized claim documentation within the claims system
• Ensure claim payments are processed accurately and timely
• Support timely and compliant claim resolution strategies
• Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
• Participate in required training and maintain knowledge of assigned state workers’ compensation statutes
• Perform additional duties and projects as assigned

Requirements

• Workers’ compensation claims handling experience required
• Lost time workers’ compensation claims experience beneficial
• Exposure to litigation management and settlement negotiations beneficial
• Ability to manage multiple priorities in a fast-paced environment
• Analytical mindset with attention to detail and sound decision-making ability
• Clear verbal and written communication skills
• Ability to work independently and collaboratively within a team environment
• Professional and customer-focused approach when working with clients and claimants
• Proficiency with Microsoft Office applications and ability to learn new systems

Qualifications

• High school diploma or equivalent required
• Bachelor’s degree beneficial
• Adjuster licensing beneficial or ability to obtain licensing as required

Skills

None specified

Benefits

See full details in the Job Summary section.

Pay

Details TBD

Schedule

Full-time, remote position