Workers' Compensation Claims Specialist

A national third party claims administrator is seeking an experienced Workers’ Compensation Claims Specialist to handle workers’ compensation claims and related activity for designated self-insured accounts in states Minnesota and Wisconsin. This position allows the flexibility to telecommute from your own home!

BASIC FUNCTION:
To handle all workers’ compensation claims and related activity for designated accounts and to coordinate the activities, workflow, and delivery of worker’s compensation claim services for the department.

RESPONSIBILITIES:

  • Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
  • Investigate, evaluate, and resolve lost time Workers’ Compensation claims, including litigated claims.
  • Mediates situations as they arise between the insured and the insurance company, to include researching coverage issues.
  • Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
  • Generates checks for indemnity and medical payments daily.
  • Compiles and interprets Workers’ compensation reports on designated accounts, as requested.
  • Participates in claim reviews and attending Risk Control Workshops when requested by agency partners or insureds, either in person or by phone.
  • Ability to adjudicate lost time claims in multiple jurisdictions.
  • Develops and monitors consistency in procedural matters of claim handling process within CRS.
  • Willingness to become licensed if required in jurisdiction where claims are handled.

QUALIFICATIONS :

  • Minimum of five year’s claim experience with strong background in Workers’ Compensation claim handling.
  • A high school diploma or GED equivalent required, college degree preferred.
  • Jurisdictional expertise and required licensing as needed in MN and WI.
  • Knowledge of workers’ compensation insurance coverage and the ability to apply knowledge in the performance of the job duties.
  • Skillful knowledge of claims processing procedures.
  • Ability to work with persons under adverse or highly emotional conditions.
  • Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously.
  • Willingness to pursue industry-related education.
  • Ability to work core business hours Monday – Friday and willingness to work extended hours, as necessary.

We offer a competitive benefit and salary package.
EOE
Pre-offer background check required.

Job Type: Full-time

Experience:

  • Five years' workers' compensation claims experience: 5 years (Required)
Posted
11/06/2021
Salary Range
$28,000.00 - 47,000.00
per Year
Salary range estimated by
Location
Milwaukee, WI 53244, US
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