Specialist, Workers' Compensation
Core
Investigate, evaluate, and resolve workers' compensation claims (Medical Only and Lost Time) for injured team members, managing medical care coordination, benefits calculation, and claim settlement.
Role type
Specialist, Workers' Compensation Claims Adjuster
Builds
Resolved claims and favorable litigation outcomes
Domain
Insurance / Workers' Compensation / Logistics & Transportation
Deliverable
client delivery
Required skills
Claim investigation, medical care coordination, benefits calculation, claim negotiation and settlement, documentation management (PII/HIPAA), conflict resolution, litigation management, loss prevention, hazard correction
Preferred skills
Associate's degree in business, 3+ years related experience, advanced Excel skills
Technologies
Microsoft Office, Excel
Responsibilities
Investigate and resolve employee injury claims, coordinate medical care and calculate statutory benefits, negotiate and settle claims, manage claim documentation including PII and HIPAA data, provide reserve recommendations to corporate management, resolve conflicts with senior adjusters, collaborate with defense counsel on litigation strategy, focus on loss prevention and hazard correction
Seniority
Specialist, individual contributor
