Workers Compensation Claims Representative

Job Summary

Managing a portfolio of medical-only workers' compensation claims, the full-time remote Senior Claims Representative will investigate, evaluate, and resolve claims while ensuring compliance with jurisdictional requirements and maintaining strong communication with stakeholders.

Key responsibilities

• Investigate, evaluate, and manage workers' compensation medical-only claims from initial reporting through resolution
• Maintain regular communication with injured workers, employers, medical providers, and other claim stakeholders
• Approve or deny payment of medical invoices and establish claim reserves within delegated authority levels

Required qualifications

• High school diploma required; additional insurance, claims, or business-related education preferred
• Minimum of 2 years of experience handling workers' compensation medical-only claims
• Experience managing claims in Minnesota, Iowa, Nebraska, South Dakota, Kansas, and Missouri preferred
• Strong knowledge of workers' compensation claims handling practices and medical bill review
• Demonstrated ability to work independently in a remote environment and manage multiple priorities