Workers Compensation Claim Representative, Experienced
Core
Manage Workers' Compensation claims with lost time, negotiate settlements, and coordinate medical and indemnity positions to resolve claims and return injured workers to work.
Role type
Experienced Workers Compensation Claim Representative
Builds
Resolved claims files and settlement agreements
Domain
Insurance / Workers Compensation
Required skills
Workers Compensation claim handling, policy coverage assessment, reserve establishment, medical case management, litigation management, settlement negotiation, fraud evaluation, Medicare Set Aside calculations, vocational rehabilitation coordination
Preferred skills
Insurance licensing, structured settlement/annuity knowledge, apportionment and subrogation strategies, complex litigation resolution
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, manage litigation to optimal outcomes
Seniority
Mid-level, experienced IC