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
• Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
• Support timely and compliant claim resolution strategies
• Participate in required training and maintain knowledge of assigned state workers’ compensation statutes

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

Knowledge of workers' compensation laws and regulations

Strong analytical and problem-solving skills

Excellent communication and negotiation skills

Benefits

Comprehensive medical, dental, and vision insurance

Life and disability insurance

Fertility benefits

Wellness resources

Paid sick time

Generous paid time off and holidays

Employee Assistance Program (EAP)

Calm app subscription

Health Savings Account (HSA) and Flexible Spending Account (FSA) options

Commuter benefits

Employee discount programs

Paid maternity and paternity leave (including for adoptive parents)

Legal plan options

Pet insurance coverage