Workers Compensation Claims Rep

Skills
Claims HandlingManagementInsuranceInsurance ClaimsWorkers' ClaimsWorkers' Claims
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • 1-2 years minimum direct workers’ compensation claims handling experience
  • Strong insurance claims background with a focus on workers’ compensation
  • Ability to investigate claims evaluate exposure and make sound decisions
  • Excellent problem-solving critical-thinking and organizational skills
  • Strong written and verbal communication abilities
  • Customer-focused mindset with relationship-building skills
  • Ability to manage multiple priorities while meeting deadlines
  • Working knowledge of medical and legal terminology
  • Proficiency with Microsoft Office applications
  • Professional approach to difficult or confrontational situations

Nice to have

  • Fast-paced
  • Collaborative
  • Accountable
  • Customer-focused
  • Proactive

Day to day

  • Investigate reported workplace injuries and determine compensability.
  • Conduct prompt interviews with injured employees management and medical providers within 24 hours of assignment.
  • Evaluate claim exposure and coordinate strategic plans for medical management disability management and claim resolution.

Hiring process

  • Review the required workers’ compensation experience carefully before applying