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Remote Workers' Compensation Claims Representative – Midwest
Manage lost-time and litigated workers’ compensation claims for commercial insurers, including compensability decisions, investigations, and settlement negotiations. This fully remote role serves the Midwest.
Tavsif
- Assess compensability and coverage for lost-time workers’ compensation claims
- Manage a multi-jurisdiction caseload of lost-time claims
- Negotiate and coordinate settlements subject to management review
- Collect medical records and factual evidence to support compensability decisions
- Oversee external investigations and manage litigation files within assigned authority
- Stay in contact with claimants, attorneys, investigators, and rehabilitation professionals
- Maintain regular communication with insureds, account liaisons, and medical providers
Talablar
- Prior experience with an insurance carrier is preferred
- Experience handling lost-time or litigated claims
- Working knowledge of medical terminology
- Strong organization, problem-solving, negotiation, and conflict-resolution abilities
- Excellent written and verbal communication skills
- A bachelor’s degree plus at least 3 years of relevant workers’ compensation claims experience, or at least 5 years of relevant experience without a bachelor’s degree
- Claims Adjuster Designation or SIP Certification is required
- Claims-adjusting experience in Texas is required
- Claims-adjusting experience in Oklahoma and Alaska is preferred
Imtiyozlar
- Medical coverage through PPO or HDHP plans, plus vision, disability, and life insurance
- Enhanced dental coverage with orthodontia, alongside a standard dental plan
- Generous paid time off for employees eligible for benefits
- Paid company holidays plus four floating holidays
- Paid parental leave
- 401(k) retirement savings plan with company matching and immediate vesting
- Education assistance offering 100% upfront tuition reimbursement after six months for approved degree programs
- Service recognition awards providing vacation-related monetary rewards every five years
- Wellness programs including fitness center and Weight Watchers reimbursements
- Optional accident, critical illness, and hospital indemnity coverage
- Employee discounts and rewards for travel, tickets, electronics, home products, and more
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