Workers’ Compensation Claims Specialist

About the role

WeDriveU is seeking a detail-oriented and collaborative Workers' Compensation Claims Specialist to support the administration and management of our workers' compensation claims program. This role serves as the primary point of contact for workers' compensation claims administration, ensuring claims are proactively handled from initial reporting through closure while minimizing claim costs, supporting injured employees, maintaining regulatory compliance, and identifying opportunities for continuous improvement.

The ideal candidate has 3-5 years of workers' compensation claims experience, strong organizational skills, and the ability to multi-task in a fast-paced environment while handling multiple jurisdictions.

Responsibilities

• Maintain a portfolio of workers' compensation claims in partnership with third-party administrators (TPAs), brokers, and insurance carriers.
• Monitor claim activity to ensure timely investigation, appropriate reserving, return-to-work planning, and resolution.
• Coordinate with internal and external legal counsel on litigated workers’ compensation claims (Litigation Oversight).
• Participate in settlement strategy discussions and evaluate settlement recommendations with TPAs, carriers, and legal counsel (Settlement Authority).
• Review claim documentation for accuracy, completeness, and compliance with company policies and applicable regulations.
• Serve as a point of contact for Operations, Human Resources, Safety, and other internal stakeholders regarding claim status and next steps.
• Coordinate with TPAs, medical providers, legal counsel, and other external partners to facilitate effective claim management.
• Assist in identifying trends, recurring injury patterns, and opportunities to reduce claim frequency and severity.
• Prepare reports, dashboards, and claim summaries for internal leadership.
• Assist with audits, regulatory reporting, and carrier or broker requests as needed.
• Maintain confidentiality of employee and medical information in accordance with applicable laws and company policies.
• Contribute to continuous improvement of workers' compensation processes and documentation.
• Monitor compliance with applicable state workers' compensation laws, reporting requirements, OSHA coordination, and company policies.
• Perform other duties and special projects related to workers’ compensation, claims administration, insurance, and risk management as assigned.

Requirements

• Bachelor's degree or equivalent combination of education and relevant experience.
• Minimum of three (3) years experience in workers compensation claims or a related insurance, claims, or risk management role.
• Working knowledge of workers' compensation claims processes and applicable regulations.
• Strong organizational, analytical, and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to prioritize multiple tasks and manage competing deadlines.
• Proficiency with Microsoft Office Suite, particularly Excel.
• Ability to work collaboratively across departments and with external partners.

Preferred Qualifications

• Experience managing multi-state workers' compensation claims.
• Experience working with TPAs, insurance carriers, or brokers.
• Experience within transportation, logistics, mobility, fleet operations, construction, or other high-frequency workers’ compensation environments.
• Associate in Claims (AIC), Workers' Compensation Professional (WCP), or other relevant industry designation, or willingness to obtain.

Benefits

Physical Health

• Exceptional Medical, Dental, Vision, and Life Insurance benefits

Financial Health

• Competitive compensation packages
• 401(k) with 4% employer match
• Financial Wellness Tool
• Commuter Benefits

Emotional Health

• Employee Assistance Program (EAP)
• Unlimited PTO
• Paid holidays
• Pet & Legal Insurance

Personal Development

• On-the-job training and skills development
• Internal transfer opportunities for career growth

Benefits vary by position and location.