Workers Compensation Return to Work Claim Professional
Core
Manage Workers' Compensation claims with lost time to conclusion, negotiate settlements, and coordinate medical and indemnity positions to facilitate return to work.
Role type
Workers Compensation Claim Professional
Builds
Claim resolutions, settlements, and return-to-work strategies for injured workers
Domain
Insurance / Workers Compensation
Deliverable
client delivery
Required skills
Workers Compensation claim handling, policy coverage assessment, reserve establishment, medical case management, litigation management, settlement negotiation, fraud evaluation, Medicare Set Aside application
Preferred skills
Insurance licensing, structured settlement/annuity usage, vocational rehabilitation coordination
Technologies
None stated
Responsibilities
Conduct investigations to determine compensability, establish and update actuarial reserves, manage files for quality and timely closure, collaborate with medical and legal resources, pursue offset opportunities, negotiate claim settlements, evaluate claims for potential fraud
Seniority
Mid-level, hands-on IC
