Workers' Compensation Claims Examiner

About the role

The Claims Examiner Workers' Comp plays a crucial role in managing the Workers' Compensation claims process. They work in a team environment, making decisions on reserve adjustments, developing action plans, and resolving claims.

Responsibilities

• Manages full cycle claim management for assigned states to resolution
• Communicates status plans with local offices, TPAs, medical providers, and Amergis employees through conference calls
• Maintains legal deadlines and monitors TPA's file resolution plans
• Represents Amergis in depositions, mediations, and conference calls regarding assigned claim files
• Analyzes financial aspects of assigned claims files and provides reports to department management
• Provides excellent customer service to injured workers
• Reviews, identifies, and recommends strategies to maintain and reduce claims experience
• Authorizes or revises reserve requests and coordinates with the Benefits team during employee absences
• Coordinates with state programs and internal departments for transitional duty
• Trains branch offices on Workers' Compensation aspects
• Aids the Manager in achieving departmental goals
• Performs other duties as assigned

Requirements

• College degree preferred or equivalent work experience
• 5 to 10 years of Workers' Compensation experience preferred
• Some legal experience strongly preferred
• Good organizational skills and attention to detail
• Ability to work independently and cooperatively in a team environment
• Effective communication skills and proficiency in the English language

Qualifications

• Computer proficiency, including Microsoft Office applications
• Prior experience performing internet research
• Ability to elicit and provide information to and from appropriate individuals

Skills

• Knowledge of Workers' Compensation laws and regulations
• Strong analytical and problem-solving skills
• Excellent interpersonal and customer service skills
• Ability to manage multiple tasks and meet deadlines

Benefits

• Medical/Prescription, Dental, Vision insurance
• Health Advocacy (company-paid if enrolled)
• Employee Assistance Program
• Health Savings Account
• 401(k) with company match
• Profit sharing
• Short and long-term disability insurance
• Primary Caregiver and Parental leave
• Life and accidental death and dismemberment insurance
• Voluntary life and accidental death and dismemberment insurance
• Hospital expense protection plan
• Critical illness insurance
• Accident insurance
• Dependent care flexible spending account
• Home and auto insurance
• Pet insurance
• MilkStork, Transportation benefit
• Education assistance program
• Paid time off and company holidays

Pay

The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, experience, and other variable factors.

Schedule

Details on the schedule will be provided upon hire.