Workers' Compensation Claims Representative – Midwest

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

📋 Description

• Assess compensability and coverage matters for workers' compensation claims involving lost time.

• Efficiently oversee a portfolio of lost-time claims across various jurisdictions.

• Negotiate and facilitate settlements with management's oversight.

• Collect medical and factual information to evaluate compensability.

• Supervise external investigations and manage litigation files within specified authority.

• Coordinate and maintain communication with claimants, their attorneys, outside investigators, and rehabilitation specialists.

• Sustain regular contact with insured parties, account representatives, and medical providers.

⛳️ Requirements

• Preferred experience with insurance carriers.

• Background in managing lost time or litigated claims.

• Knowledge of medical terminology is essential.

• Exceptional organizational, problem-solving, negotiation, and conflict resolution abilities.

• Strong verbal and written communication skills.

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

• Claims Adjuster Designation or SIP Certification is mandatory.

• Prior experience adjusting claims in Texas is required.

• Experience in Oklahoma and Alaska is preferred.

🏝️ Benefits

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

• Enhanced dental plan that includes orthodontia coverage alongside a standard plan.

• Generous paid time off (PTO) plan for all eligible employees.

• Paid company holidays and four floating holidays.

• Paid parental leave policy.

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

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

• Service Recognition Program that includes a monetary award towards a vacation every five years of employment.

• Wellness Initiatives featuring Fitness Center access and Weight Watchers Reimbursement programs.

• Voluntary benefits for accident, critical illness, and hospital indemnity.

• Employee discount and rewards program covering travel, tickets, electronics, home goods, and more.