Claim Representative I

AF Group

United States
Base: $48,200 - $80,750; bonus/equity: not specifi...
Fully remote
Workers' compensation laws knowledge
Medical and legal terminology proficiency
Claim investigation and compensability determination
AF Group is hiring an entry-level Claim Representative I to handle workers' compensation claims remotely. The role requires assessing claims, negotiating settlements, and maintaining effective relationships with clients and vendors

Job Summary

  • This entry-level position handles both medical-only and indemnity benefits while exercising discretion in determining claim compensability.
  • The role requires thorough investigation of claims to establish causal relationships between injuries and incidents for appropriate benefit payments.
  • Candidates must negotiate settlements with attorneys or injured parties within given authority to bring cases to final disposition efficiently.

Matching Summary

Match Score: 75

AF Group is hiring an entry-level Claim Representative I to handle workers' compensation claims remotely. The role requires assessing claims, negotiating settlements, and maintaining effective relationships with clients and vendors.

Salary

Base: $48,200 - $80,750; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Workers' compensation laws knowledge
  • Medical and legal terminology proficiency
  • Claim investigation and compensability determination
  • Settlement negotiation within authority
  • Reserve estimation based on financial exposure

Nice-to-have

  • Bilingual communication skills preferred
  • Progress toward certification encouraged
  • Vendor management for cost containment
  • Ability to work independently and in teams

Key Requirements

  • Bachelor's degree in a related field
  • Minimum one-year relevant experience or claims trainee program completion
  • Knowledge of jurisdictional workers' compensation laws

Work Rights

Not specified

Tailored Resume

Cover Letter