Workers' Compensation Senior Claims Representative
Core
Investigate, value, and settle workers' compensation claims while ensuring financial accuracy and adherence to statutory guidelines.
Role type
Senior Claims Representative (Workers' Compensation)
Builds
Claim settlements and benefit oversight for injured workers
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' compensation claim handling, benefit calculation, regulatory compliance, data analysis, professional resource network management, mathematical calculations, critical thinking
Preferred skills
CA Self-Insured License, Bachelor's Degree
Technologies
Contemporary claim management technology
Responsibilities
Manage workers' compensation claims requiring timely investigations and financial accuracy; Provide benefit oversight and appropriate file disposition; Leverage professional resources (doctors, nurses, attorneys, regulators); Calculate disability benefit rates and claim financial exposures; Utilize technology to achieve accurate and efficient claim outcomes
Seniority
Senior, hands-on IC