Claims Examiner – Workers Compensation, Southeast States

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

📋 Description

• Evaluate and manage workers compensation claims through action plans to ensure timely and appropriate resolutions.

• Conduct investigations and collect information to assess claim exposure.

• Negotiate settlements for claims within the assigned authority limits.

• Maintain communication regarding claim activity and processing with both claimants and clients.

• Submit claims to the excess carrier.

• Address requests for guidance in a professional and timely manner.

• Assess benefits due while ensuring continuous adjudication in line with service expectations, industry best practices, and client service standards.

⛳️ Requirements

• High School Diploma or GED is mandatory.

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

• Relevant professional certification applicable to the line of business is preferred.

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

• Licensing in Florida or the home state is necessary.

• Knowledge of jurisdictions: FL, GA, NC, SC, AL, AR, KY.

• Strong ability for clear and conceptual thinking.

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

• Capability to manage work-related stress effectively.

• Proficiency in managing multiple priorities at once.

• Ability to meet deadlines consistently.

• Competence in computer keyboarding.

• Willingness to travel as needed.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to work within an agile environment.

• Career development and advancement opportunities.

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

• 401(k) plan available from day one.

• 401(k) matching contributions.

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance program.

• Flexible spending account or health savings account options.

• Additional voluntary benefits available.

• Flexibility for remote work and autonomy in daily activities, location, and career trajectory.