Job Summary

• Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.
• Negotiate settlement of claims within designated authority, calculate and assign timely and appropriate reserves, and prepare necessary state filings within statutory limits.
• Communicate claim activity and processing with the claimant and the client, maintain professional client relationships, and ensure claim files are properly documented and claims coding is correct.

Matching Summary

Salary

$63,404 - $90,000/yr; Not specified; Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Skills & Requirements

Key Requirements

• Five (5) years of claims management experience
• Bachelor's degree preferred
• Professional certification preferred
• Subject matter expert of insurance principles and laws
• PC literate, including Microsoft Office products

Work Rights