Claims Examiner – Workers Compensation, FL

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

📋 Description

• Evaluate and manage complex general liability claims by investigating and collecting information to assess claim exposure.

• Oversee claims with well-structured action plans to ensure timely and appropriate resolutions.

• Direct the litigation process, ensuring claims are resolved in a timely and cost-effective manner.

• Coordinate referrals to vendors for further investigation and/or management of litigation.

• Facilitate team meetings and delegate responsibilities for follow-up tasks.

• Compile compliance and claims processing data for team discussions.

• Assist in interviewing adjusters and clerical staff, providing feedback to the hiring manager.

• Support the team leader with monthly assessments of adjuster workloads, identify trends, and recommend adjustments.

• Potentially supervise up to three direct reports.

• Implement company personnel policies while adhering to staffing standards and training guidelines.

• Conduct interviews, hire candidates, create performance development plans, and engage in performance discussions.

• Offer support, guidance, leadership, and motivation to enhance overall performance.

⛳️ Requirements

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

• High School Diploma or GED is required.

• A Bachelor's degree from an accredited college or university is preferred.

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

• Experience in the Southeast jurisdiction is necessary.

• Florida experience is essential.

• Florida licensing is required.

• Ability to think clearly and conceptually.

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

• Capability to manage work-related stress effectively.

• Proficiency in handling multiple priorities at the same time.

• Ability to meet deadlines consistently.

• Competency in computer keyboarding.

• Good hearing, vision, and verbal communication skills.

🏝️ Benefits

• Work-life balance.

• Opportunities for professional development.

• Flexible work schedule.

• Referral incentive program.

• Chance to work in an agile environment.

• Career development and promotional opportunities.

• Medical, dental, and vision benefits starting on day one.

• 401K with matching contributions from day one.

• Paid time off (PTO).

• Disability and life insurance.

• Employee assistance program.

• Flexible spending or health savings account.

• Additional voluntary benefits available.

• Reasonable accommodations provided as applicable and appropriate.