Return To Work Claim Representative, Workers Compensation
Core
Manage Workers' Compensation claims with lost time, negotiate settlements, and coordinate medical and indemnity positions to resolve claims and return injured workers to work.
Role type
Workers' Compensation Claim Representative
Builds
Resolved claims files and settlement agreements
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' Compensation claim handling, policy coverage assessment, reserve establishment, claim investigation, settlement negotiation, litigation management, fraud evaluation, Medicare Set Aside application, vocational rehabilitation coordination
Preferred skills
Structured settlement/annuity utilization, subrogation and contribution analysis, state regulatory compliance, medical knowledge of injury and disability periods
Technologies
Insurance management systems, state filing platforms
Responsibilities
Conduct investigations to determine compensability, establish and update actuarial reserves, manage files with emphasis on quality and timely resolution, collaborate with medical and legal resources, pursue offset opportunities, negotiate claim settlements, manage litigation to optimal outcomes
Seniority
Mid-level, hands-on IC
