Workers' Compensation Claims Specialist
Human ResourcesFull-time
POSITION SUMMARY
A Workers’ Compensation Claims Specialist is the primary point of contact for all issues involving claim management, providing a range of legal support to the Workers’ Compensation Attorney.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Processing assigned claims in accordance with Firm policies and procedures
- Ensuring case management software (CMS) feed is cleared daily
- Completing all assigned tasks by relevant deadlines
- Documenting all relevant activity in CMS properly
- Ensuring emails are cleared daily
- Completing monthly Meaningful Client Communication (MCC) and serving as the primary point of contact for the client on claim management and litigation issues
- Communicating with insurance adjusters, third party administrators, medical providers, and other relevant parties as directed by the assigned attorney
- Meeting with the assigned attorney on a regular basis to ensure each claim is reviewed at least once per month
- Meeting with the assigned Attorney on a regular basis to assist with issues in litigation
- Working with the client and the assigned attorney to identify and address any issues that arise
- Training Claims Specialists as assigned
- Performing other duties as assigned
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.
REQUIRED QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)
- High school diploma or equivalent
- Minimum of six months of workers’ compensation claims experience or other related claims experience
- Thorough knowledge of legal principles, legal research techniques, legal terminology, and government regulations
- Excellent oral and written communication skills
- Excellent interpersonal, analytical, and critical thinking skills
- Proficient with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook
- Ability to operate basic office equipment such as a copy machine, fax machine, printer, scanner, computer
- Ability to work with databases and online technological platforms
- Ability to be detail-oriented, diligent, and flexible
- Ability to handle conflicting time demands and focus on task completion with little direction or need for supervisory follow-up
- Proficient command of the English language in both oral and written format
- Ability to work and maintain patience with diversified individuals of various backgrounds and professional competencies
- Committed to maintaining integrity and confidentiality on behalf of clients and the Firm
PREFERRED QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)
- Associates Degree or Certificate program in Legal Studies
- Bilingual in English and Spanish
- Authorized Nevada Notary