State Certified Claims Specialist

Job Summary

A company is looking for a Claims Specialist to manage non-complex workers' compensation claims under supervision.

Key Responsibilities

• Receive claims, confirm policy coverage, and acknowledge claims
• Determine the validity and compensability of claims, establishing reserves and authorizing payments
• Communicate claim status to customers, claimants, and clients while adhering to guidelines

Required Qualifications

• Bachelor's degree or a combination of education and related experience
• Minimum of 1 year of industry experience, preferably in claims management
• State Certification as an Experienced Examiner
• Proficiency in Microsoft Office, including Excel
• Ability to work both independently and as part of a team