Workers Compensation Claims Examiner

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

📋 Description

• Oversee a desk and a portfolio of workers’ compensation claims in a professional and efficient manner.

• Conduct comprehensive investigations of claims, including assessments of coverage, liability, and exposure.

• Assess claim exposure and uphold precise and timely reserves.

• Administer litigation processes and collaborate with defense counsel as necessary.

• Analyze claims for potential settlement and facilitate negotiations with claimants and attorneys.

• Track and manage medical treatment activities and the progression of claims.

• Ensure claim documentation is accurate, timely, and well-organized within the claims system.

• Guarantee that claim payments are executed accurately and punctually.

• Aid in the development of timely and compliant strategies for claim resolution.

• Maintain ongoing communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process.

• Engage in mandatory training and stay informed about the workers’ compensation statutes relevant to the assigned state.

• Undertake additional duties and projects as assigned.

⛳️ Requirements

• Experience in handling workers’ compensation claims is required.

• Experience with lost time workers’ compensation claims is advantageous.

• Familiarity with litigation management and settlement negotiations is beneficial.

• Must be a resident of the state of Tennessee.

• Capability to manage multiple priorities in a fast-paced environment.

• Strong analytical skills with a keen attention to detail and effective decision-making abilities.

• Excellent verbal and written communication skills.

• Ability to work both independently and collaboratively within a team setting.

• Professional and customer-oriented approach when engaging with clients and claimants.

• Proficient in Microsoft Office applications and capable of learning new systems.

🏝️ Benefits

• Comprehensive medical, dental, and vision insurance.

• Life and disability insurance coverage.

• Fertility benefits available.

• Access to wellness resources.

• Paid sick leave.

• Generous paid time off and holiday benefits.

• Employee Assistance Program (EAP).

• Complimentary subscription to the Calm app.

• Immediate vesting in a 401(k) plan.

• Options for Health Savings Account (HSA) and Flexible Spending Account (FSA).

• Commuter benefits available.

• Employee discount programs.

• Paid maternity and paternity leave (including for adoptive parents).

• Legal plan options.

• Coverage for pet insurance.