Workers' Compensation Claims Representative

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

📋 Description

• Assess compensability and/or coverage concerns for lost time workers' compensation claims

• Efficiently oversee a caseload of lost time claims from various jurisdictions

• Negotiate and manage settlements with oversight from management

• Collect medical and factual evidence to evaluate compensability

• Supervise external investigations and manage litigation files within authorized limits

• Coordinate and maintain communication with claimants and/or their legal representatives, outside investigators, rehabilitation staff, insured parties, account liaisons, and medical providers

⛳️ Requirements

• Experience with a carrier is preferred

• Background in handling lost time or litigated claims

• Knowledge of medical terminology

• Strong skills in organization, problem-solving, negotiation, and conflict resolution

• Exceptional verbal and written communication abilities

• A bachelor's degree and 3+ years of relevant Workers' Compensation claims experience, or 5+ years of relevant Workers' Compensation claims experience without a bachelor's degree

• Claims Adjuster Designation or SIP Certification is mandatory

• Experience managing claims in California

🏝️ Benefits

• Medical (PPO/HDHP), vision, disability, and life insurance

• Enhanced dental plan that includes orthodontia coverage in addition to a standard plan

• Generous PTO plan for all eligible employees

• Paid company holidays and 4 floating holidays

• Paid parental leave

• Employee Retirement Savings Plan/401(k) with company match and immediate vesting

• Education Assistance Program offering 100% upfront tuition reimbursement after 6 months of service for approved degree programs

• Service Recognition Program providing a monetary award toward a vacation every 5 years of employment

• Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs

• Voluntary accident, critical illness, and hospital indemnity benefits

• Employee discount and rewards program on travel, tickets, electronics, home, and more

• Fully remote work