Workers' Compensation Claims Representative - Southeast (Remote)

Job Summary

Seeking a highly skilled and experienced Workers' Compensation Claims Representative to join a team. This is a fully remote position, allowing you to work from anywhere within the continental United States. The ideal candidate will have a strong background in managing workers' compensation claims, excellent communication skills, and the ability to handle claims across multiple jurisdictions. If you are a dedicated professional with a passion for delivering exceptional service, encourage you to apply.

Compensation Package

• Salary Range: $75,000 - $90,000 per year (based on qualifications and experience)
• Benefits: Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

• Determine compensability and/or coverage issues for lost-time workers' compensation claims.
• Effectively manage a caseload of lost-time claims across multiple jurisdictions.
• Negotiate and direct settlements under management's review.
• Gather medical and factual evidence to determine compensability.
• Direct outside investigations and manage litigation files within assigned authority.
• Maintain regular communication with claimants, attorneys, outside investigators, rehabilitation personnel, insureds, account liaisons, and medical providers.

Qualifications/Requirements

• A minimum of 3 years of experience in workers' compensation claims handling.
• Bachelor's degree is required.
• Adjuster license and confirmation of home state license are mandatory.
• Jurisdictional experience in GA, NC, SC, FL, AL, TN, and LA is required.
• Carrier experience is preferred.
• Experience in handling lost-time or litigated claims.
• Familiarity with medical terminology.
• Strong organizational, problem-solving, negotiation, and conflict resolution skills.
• Excellent verbal and written communication skills.

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