Claims Examiner – Workers Compensation

This is a fully remote position, open to applicants in Alabama, +5 more locations.

📋 Description

• Assess and manage workers' compensation claims through effective action plans to ensure timely and appropriate resolutions.

• Conduct investigations and collect information to evaluate claim exposure.

• Negotiate settlements for claims within the assigned authority limits.

• Communicate updates regarding claims processing to claimants and clients effectively.

• Report claims to the excess insurance carrier.

• Respond to inquiries for guidance in a professional and prompt manner.

• Determine the benefits owed while ensuring continuous adjudication in line with service expectations, industry best practices, and client service requirements.

⛳️ Requirements

• A High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited institution is preferred.

• Professional certification relevant to the line of business is preferred.

• A minimum of 5 years of claims management experience or a suitable combination of education and experience is required.

• A license from FL or the home state is necessary.

• Knowledge of jurisdictional regulations in FL, GA, NC, SC, AL, AR, KY is essential.

• Strong ability for clear and conceptual thinking.

• Excellent judgment, troubleshooting skills, problem-solving abilities, analytical skills, and discretion are required.

• Capability to manage work-related stress effectively.

• Ability to prioritize multiple tasks concurrently.

• Meet deadlines effectively.

• Competence in computer keyboarding.

• Willingness to travel as needed.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to operate in an agile work environment.

• Career development and promotion opportunities.

• Comprehensive medical, dental, and vision coverage starting from day one.

• 401(k) plan available from day one.

• Matching contributions for 401(k).

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance program.

• Flexible spending account or health savings account options.

• Additional voluntary benefits.

• Flexibility for remote work and autonomy.

• Reasonable accommodations provided where applicable.