Workers Compensation Associate Claim Representative
Core
Manage workers compensation claims under close supervision, investigating, documenting, and evaluating action plans for resolution while assisting in coverage determination and fraud assessment.
Role type
Associate claim representative (trainee)
Builds
Claims resolution outcomes and accurate claim records
Domain
Insurance / Workers Compensation
Deliverable
client delivery
Required skills
claim investigation, policy interpretation, fraud assessment, record maintenance, communication, customer service, organizational skills
Preferred skills
Microsoft Office proficiency, willingness to learn claims management systems, openness to AI and digital transformation
Technologies
Microsoft Office (Word, Excel, Outlook), claim management systems
Responsibilities
Review, investigate, and document Workers Compensation claims; Assess coverage and determine compensability; Gather information from policyholders, claimants, and providers; Communicate claim status to all parties; Maintain accurate records in claim management systems; Coordinate medical treatment to return injured parties to work.
Seniority
Entry-level, trainee