Workers' Compensation Claims Examiner III (Hybrid- REMOTE)

Manages all aspects of indemnity claims handling from inception to conclusion, including complex claims, and communicates with clients, claimants, and staff.

Requirements

• Effectively manages a caseload of 150 to 180 workers' compensation files
• Initiates and conducts claims investigation in a timely manner
• Determines compensability of claims and administers benefits
• Manages medical treatment and medical billing
• Refers cases to outside defense counsel as appropriate
• Communicates with claimants, providers, and vendors regarding claims issues
• Computes and sets reserves within Company guidelines
• Settles and/or finalizes all claims and obtains authority as designated
• Maintains diary system for case review and document file
• Communicates appropriate information promptly to the client to resolve claims efficiently

Benefits

• Paid time off
• 401k matching
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Retirement plan
• Paid holidays
• Flexible work arrangements