Senior Workers Compensation Claims Specialist I/Ii- Eberle Vivian
By Liberty Mutual At , Remote $72,300 - $127,700 a year
Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.
Manages an inventory of workers compensation claims to evaluate compensability/liability.
Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and compensability.
Performs other duties as assigned.
(Remote) Claims Team Lead - Workers Compensation
By Sedgwick At , Chicago
Education & Licensing: 5-7 years of claims management experience or equivalent combination of education and experience required.
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Compiles reviews and analyzes management reports and takes appropriate action.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Workers Compensation Subrogation Specialist
By EXL Services At , Remote
Issue notices in accordance client requirements and state specific regulations
1-3 years’ experience in General Liability, Personal Injury, Products Liability, or Workers’ Compensation Claims
Bachelor’s degree or equivalent work experience
Strong written and verbal skills
As the role grows, ability to learn quickly and take on new challenges and responsibilities
Review and identify claims with subrogation potential
Claims Manager, Workers Compensation
By Nationwide At , Remote
Education: Undergraduate studies in business administration or related field preferred and/or relevant Workers’ Compensation experience.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Registered Nurse (RN) licensure required; Successful completion of required claims certification schools/courses. State licensing where required.
Three or more years of clinical experience required, medical coding or medical billing preferred.
Strong data analysis skills to determine medical bill rule design.
Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.
Workers Compensation Tpa Claims Assistant
By EMC Insurance At , Remote
Ability to attain all applicable state licenses within 30 days of hire and maintain appropriate continued education requirements
Notifies the Claim Manager/Supervisor of claims which require assignment to higher level Claims team members
Three years of claims support experience or related experience
Basic knowledge of insurance and claims processing
Strong knowledge of insurance and claims terminology
Good knowledge of computers, software, and applications
Claims Assistant - Workers Compensation
By Sedgwick At , Brea, Ca
Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more
An assigned mentor and manager who will guide you on your career journey
Career development and promotional growth opportunities through increasing responsibilities
A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs
Education & Licensing: High school diploma or GED required
Sr. Workers Compensation Claims Analyst
By Tesla At , Fremont, Ca
Bachelor’s Degree Preferred (Business Administration, Insurance or Risk Management) or equivalent combination of education, training, and experience
Provide oversight as needed to respective regional Workplace Health Team for day-to-day operations, project management, and claim escalations.
A background in risk management and/or workers’ compensation claims management with a large-scale manufacturer or distributor is preferred but not required
Generate quarterly reports to Workers’ Compensation Manager related to high-exposure events, injury trends, claim costs, and workers’ compensation metrics.
Coordinate with the Return-to-Work team for employees who are receiving disability benefits due to non-accommodation in their department
Ad-hoc reporting, data analysis, presentations and training as requested by the Workers’ Compensation Manager.
Workers Compensation Critical Claim Specialist
By The Travelers Companies, Inc. At , Saint Paul, 55127, Mn $79,700 - $131,500 a year
Maintain Continuing Education requirements as required.
5+ years Workers Compensation experience strongly preferred.
Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
Minimum of 5 years Workers Compensation experience.
May use structured settlement/annuity as appropriate for the jurisdiction.
Facilitate timely claim resolution by leveraging any mitigation opportunities.
Workers Compensation Claims Director - Remote Option
By Helpside At , Remote
Minimum of 2+ years of Utah lost time/disability work comp adjusting experience
Working knowledge of the Utah work comp medical network
Excellent oral and written communication skills
Experience supervising other adjusters is a plus, but not required.
Additional voluntary supplemental benefits including dental, vision, life insurance, disability, accident, critical illness, etc.
Sound understanding of proper reserving practices

Are you looking for a challenging and rewarding role in the Workers Compensation industry? We are looking for an experienced Claims Specialist to join our team and help us provide the best service to our clients. You will be responsible for managing and resolving complex claims, ensuring compliance with applicable laws, and providing excellent customer service. If you have a passion for helping people and a drive to succeed, this could be the perfect job for you!

Overview A Workers Compensation Claims Specialist is responsible for managing workers compensation claims and ensuring that injured workers receive the necessary medical care and financial compensation. They must be knowledgeable about the laws and regulations governing workers compensation and be able to interpret them in order to make sound decisions. Detailed Job Description A Workers Compensation Claims Specialist is responsible for managing workers compensation claims. This includes investigating claims, gathering evidence, and making decisions regarding the validity of the claim. They must be knowledgeable about the laws and regulations governing workers compensation and be able to interpret them in order to make sound decisions. They must also be able to communicate effectively with injured workers, employers, and insurance companies. Job Skill Requirements
• Knowledge of workers compensation laws and regulations
• Ability to interpret and apply laws and regulations
• Excellent communication and interpersonal skills
• Ability to investigate and analyze claims
• Ability to make sound decisions
• Ability to work independently and as part of a team
• Ability to handle multiple tasks simultaneously
• Proficiency in computer software programs
Job Qualifications
• Bachelor’s degree in business, law, or a related field
• Previous experience in workers compensation claims
• Certification in workers compensation
Job Knowledge
• Knowledge of workers compensation laws and regulations
• Knowledge of medical terminology
• Knowledge of insurance policies and procedures
• Knowledge of legal terminology
Job Experience
• Previous experience in workers compensation claims
• Previous experience in insurance or legal field
Job Responsibilities
• Investigate workers compensation claims
• Gather evidence to support claims
• Analyze claims and make decisions regarding validity
• Communicate with injured workers, employers, and insurance companies
• Ensure that injured workers receive necessary medical care and financial compensation
• Maintain accurate records of claims
• Monitor claims to ensure timely resolution
• Prepare reports and documents related to claims
• Stay up to date on changes in workers compensation laws and regulations