Workers Compensation Return to Work Associate Claim Representative
Core
Entry-level associate claim representative for workers compensation, focusing on investigating claims, determining coverage and compensability, and supporting injured employees' return to work under close supervision.
Role type
Associate Claim Representative (Workers Compensation)
Builds
Workers compensation claims resolution and return-to-work plans
Domain
Insurance / Workers Compensation
Deliverable
client delivery
Required skills
claim investigation, policy interpretation, fraud evaluation, record maintenance, communication, customer service, conflict resolution, 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; evaluate action plans for claim resolution; gather information from policyholders, claimants, and providers; communicate claim status to all parties; maintain accurate records in claim management systems; coordinate medical treatment to facilitate return to work; acquire and maintain relevant insurance licenses.
Seniority
Entry-level, structured training program (up to 12 months)
