Workers' Compensation Senior Claim Representative
Core
Investigate, value, and settle workers' compensation claims while ensuring financial accuracy and adherence to statutory guidelines.
Role type
Senior IC claims representative (workers' compensation)
Builds
Claim settlements and benefit oversight for injured workers
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Claim Administrator certification, workers' compensation claim handling, disability benefit calculation, regulatory compliance, professional network management (doctors, nurses, attorneys), data analysis, MS Office proficiency
Preferred skills
Bachelor's degree, State Adjuster's License, adaptability to industry-changing workflows
Responsibilities
Manage workers' compensation claims requiring timely investigations and financial accuracy; Provide benefit oversight and appropriate file disposition; Leverage professional resources to facilitate claimant recovery; Provide exceptional customer service; Utilize critical thinking to gather and analyze data for claim decisions; Calculate disability benefit rates and claim financial exposures; Demonstrate professional diplomacy in customer interactions
Seniority
Senior, hands-on IC
