Workers' Compensation Claim Representative

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

📋 Description

• Efficiently oversee workers’ compensation claims, ensuring timely investigations and financial precision.

• Ensure proper benefit management, appropriate file handling, and compliance with statutory regulations for all claims.

• Utilize a network of professional contacts, which may include doctors, nurses, attorneys, and regulators, to support our mission of helping claimants regain their lives.

• Deliver outstanding customer service by building and sustaining effective business relationships with clients.

• Apply critical thinking abilities to collect and assess data to inform essential claims decisions.

• Accurately compute disability benefit rates and evaluate claim financial exposures.

• Employ modern technology to achieve precise and efficient claim resolutions.

• Consistently exhibit professional diplomacy during all customer interactions.

• Foster a bold culture that encourages teamwork to enhance operational performance and employee engagement.

• Advocate for a culture of ongoing improvement.

⛳️ Requirements

• Previous experience in handling workers’ compensation insurance claims is preferred.

• High School Diploma is required; a Bachelor’s Degree is preferred.

• A demonstrated commitment to delivering an exceptional customer experience.

• Outstanding organizational abilities, particularly in prioritizing work tasks.

• Strong proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint).

• Excellent time management and organizational skills.

• Capability to meet productivity goals in a dynamic, team-oriented environment.

• Strong communication and negotiation skills.

• Ability to adapt and excel with evolving industry workflows.

• Exceptional written and verbal communication skills.

• Shows active listening to effectively address customer needs and demonstrates empathy in challenging situations.

• Ability to independently manage competing priorities while producing accurate work within established timelines.

🏝️ Benefits

• Short-term or annual bonuses.

• Long-term incentives.

• On-the-spot recognition.