Early Intervention & Injury Advisor
Core
Rapid assessment, triage, and resolution of minor or lower-risk workers' compensation claims to maximize operational efficiency.
Role type
Claims administrator (workers' compensation)
Builds
Resolved claims and authorized payouts
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Claims triage, portfolio management, payment administration, escalation management, stakeholder communication, data entry, regulatory compliance, deadline management
Preferred skills
Customer service, basic negotiation, analytical skills, Microsoft Office proficiency, insurance experience
Responsibilities
Review incoming minor claims to assess initial risk and ensure data integrity; Manage and monitor active volumes of Open/Pay/Close minor claims from submission to resolution; Raise and authorize claim payouts for valid, pre-approved invoices; Upgrade and transfer complex claims to specialized Case Managers; Communicate with customers, third parties, and external service providers to obtain documentation and progress claims
