Overview
The Claims Specialist is responsible for managing a caseload of workers’ compensation claims and assisting with task specific support to the department.
Benefits:
- Medical, dental, and vision plans
- 401(k) retirement plan with generous company match
- Employee Stock Ownership Plan (ESOP)
- Paid holidays, sick leave, and vacation
- Wellness program
- Tuition reimbursement program
- Remote work environment
Responsibilities
- Investigates facts surrounding work comp claims.
- Coordinates and supervises third-part administrator (TPA) adjustment of claims.
- Coordinates claims in monopolistic states.
- Determines subrogation potential and pursues recovery if applicable.
- Receives initial reports of all claim types.
- Handles lower severity level workers’ compensation claims.
- Submits workers’ compensation claims to our TPA for handling.
- Communicates with injured worker and manager to process work releases, accommodations, and restrictions.
- Communicates with our TPA regarding work status, treatment, etc.
- Summarizes and documents all activity in claims database and resolves claims in a timely fashion.
- Determines subrogation potential and pursues recovery if applicable.
- Maintains records for OSHA injury and illness record keeping and reporting.
- Assists with task specific requests from the Workers’ Compensation Supervisor and other Workers’ Compensation Analysts.
- Additional tasks as assigned from the team
Qualifications
- High School Diploma
- 1+ years of related work experience.
- Good written and verbal communications skills (grammar) are required
- Experience or prior training in customer service
- Efficient keyboarding skills
- Must be detail oriented and possess organizational skills.
- Excellent Microsoft Office skills including Excel, Word, etc.
- Must be a Citizen or National of the United States, a lawful, permanent resident, or have authorization to work in the United States
- Applicants must not now, or any time in the future, require sponsorship for an employment visa.