Workers' Compensation Claims Specialist – Alternative Markets

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

📋 Description

• Conduct investigations and manage claims effectively.

• Assess and analyze coverage and liability issues.

• Gather and evaluate reports, policies, appraisals, releases, statements, records, and other documents related to claim investigations.

• Strive to resolve claims files efficiently.

• Attend arbitrations, mediations, depositions, or trials as needed.

• Negotiate settlements/reserves within established limits and provide recommendations for cases that exceed authority.

• Communicate complex coverage issues, decisions, and outcomes to relevant parties.

• Ensure that claims payments are processed promptly and accurately.

• Guarantee that claims handling adheres to statutes, regulations, legal requirements, company procedures, and policies.

• Offer technical guidance to junior staff and other departments.

• Mentor team members and engage in talent selection, development, and performance management activities.

• Carry out additional assigned responsibilities.

⛳️ Requirements

• Bachelor’s Degree or equivalent experience.

• Field of Study: Liberal Arts, Business, or a related discipline.

• Typically, 5 to 10 years of experience in handling Workers’ Compensation Claims.

• Multi-state adjusters licensing is mandatory.

• Licenses in TX, CT, and FL are preferred.

• Experience across multiple jurisdictions is advantageous but not essential.

• Must possess authorization to work in the United States without requiring current or future sponsorship.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Wellness plans.

• Parental leave.

• Adoption assistance.

• Tuition reimbursement.

• Paid Time Off.

• Paid holidays.

• 401(k) plan with company match.

• Employee stock purchase plan.

• Commuter benefits.