Workers' Compensation Claims Representative
Job Summary
Seeking a full-time remote Workers' Compensation Claims Representative, the successful candidate will investigate, evaluate, and manage Workers' Compensation claims while providing exceptional customer service to policyholders and agents.
Key responsibilities
- Conduct thorough investigations to determine coverage, compensability, and potential fraud
- Utilize medical reports to assess injuries and treatment plans while adhering to reserving guidelines
- Engage in proactive claims management and pursue subrogation recovery opportunities
Required qualifications
- Minimum 2-3 years of experience in handling Workers' Compensation claims
- Preferred college degree
- Thorough understanding of medical terminology, anatomy, and Workers' Compensation statutes
- Proficient in personal computing and technology use
- Demonstrated ability to conduct claim reviews and service presentations independently
Complete Job Description
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