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 (adjuster)
Builds
Claim resolutions and settlement agreements for injured workers
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' compensation claims management, liability analysis, reserve maintenance, litigation coordination, settlement negotiation, medical activity monitoring, claims documentation, state statute knowledge
Preferred skills
Litigation management exposure, settlement negotiation experience, Microsoft Office proficiency
Responsibilities
Investigate claims 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 medical treatment activity, maintain accurate claim documentation, ensure timely claim payments, support compliant resolution strategies, communicate with employers, injured workers, attorneys, and medical providers
Seniority
Individual Contributor, mid-level specialist
