Workers Compensation Claims Examiner
Core
Manage lost time workers' compensation claims from assignment through resolution, ensuring timely and compliant handling.
Role type
Workers' Compensation Claims Examiner
Builds
Claim resolutions and settlements for injured workers
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' compensation claims management, lost time claim handling, liability and exposure analysis, reserve maintenance, litigation management, settlement negotiation, medical activity monitoring, claims documentation, claim payment processing, state statute knowledge
Preferred skills
Litigation management exposure, settlement negotiation experience, Microsoft Office proficiency
Responsibilities
Investigate claims thoroughly including coverage and liability, evaluate claim exposure and maintain reserves, manage litigation activity and coordinate with defense counsel, evaluate claims for settlement and negotiate resolutions, monitor and manage medical treatment activity, maintain accurate claim documentation, ensure accurate and timely claim payments, support compliant claim resolution strategies, communicate with employers, injured workers, attorneys, and medical providers, participate in required training on state statutes
Seniority
Individual Contributor, mid-level specialist