Claims Administrator

This is a fully remote position, open to applicants in United States.

📋 Description

• Receive, evaluate, and report new claims to third-party administrators (TPAs), carriers, and claim partners.

• Ensure accurate maintenance of claim files, documentation, and follow-up processes.

• Act as a resource for employees and supervisors concerning claim reporting and status updates.

• Gather and manage incident reports, medical documentation, witness statements, and supporting records.

• Monitor work restrictions, return-to-work dates, and modified duty assignments.

• Follow up with employees, supervisors, providers, and adjusters to collect necessary information.

• Assist with OSHA recordkeeping, audits, insurance renewal requests, and compliance-related activities.

• Oversee claims-related correspondence, reports, and departmental administrative tasks.

• Elevate lost-time, litigated, or complex claims to the Claims Manager.

• Support workers’ compensation, auto liability, general liability, and property claims programs.

• Collaborate with employees, supervisors, carriers, TPAs, and other partners to ensure timely reporting, accurate recordkeeping, and a positive claims experience.

⛳️ Requirements

• An associate degree is preferred; equivalent education and experience will be considered.

• A minimum of 2 years of experience in claims administration, workers’ compensation, safety, HR, risk management, insurance, or a related field is preferred.

• Strong organizational skills coupled with exceptional attention to detail.

• Capability to manage multiple priorities while meeting deadlines.

• Proficient verbal and written communication skills.

• A strong customer service orientation and commitment to employee support.

• Proficiency in Outlook, Word, Excel, and Microsoft Teams.

• Ability to maintain confidentiality and demonstrate sound judgment.

• Familiarity with claims management systems and handling sensitive information is preferred.

🏝️ Benefits

• 401K matching: 50% employer match on contributions up to 6%, with matching starting on Day 1 and a 5-year vesting schedule.

• Medical, Dental, and Vision coverage effective from Day 1.

• Paid short-term disability.

• Company-sponsored life insurance.

• Paid vacation and sick time.

• Wellness resources.

• Opportunities for professional development.

• Full-time, permanent role with Monday to Friday schedule.

• Job stability as part of an essential healthcare service provider.

• An empowering, visionary culture that values authenticity, creativity, trust, innovation, agility, and purpose-driven work.