Workers' Compensation Claims Specialist III - Southeast

Do you have a minimum of 5 years claim handling experience? Do you provide excellent customer service and enjoy building lasting relationships with clients? The person in this position will service self-insured accounts and will telecommute for this role. Qualified candidates will need to have jurisdictional experience in one or more of the following states:  AL, GA, MD, NC,  SC, TN, VA.

Duties:

  • Receives, gathers and accurately transmits workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
  • Investigates, evaluates, and resolves lost time Workers’ Compensation claims, including litigated claims.
  • Mediates situations as they arise between the insured and the insurance company, to include researching coverage issues.
  • Enters and maintains accurate information on a computer system during the claim process, to include final settlement information.
  • Generates checks for indemnity and medical payments daily.
  • Compiles and interprets Workers’ compensation reports on designated accounts, as requested.
  • Participates in claim reviews when requested by agency partners or insured’s.  These could be in person or by phone.    
  • Ability to adjudicate lost time claims in multiple jurisdictions.
  • Develops and monitors consistency in procedural matters of claims handling process within CRS.
  • Willingness to become licensed if required in jurisdiction where claims are handled.

And, let’s not forget the qualifications for the job:

  • Minimum of five year’s claim experience with strong background in Workers’ Compensation claim handling.
  • A high school diploma or GED equivalent required, college degree preferred.
  • Jurisdictional expertise and required licensing as needed in one or more of the following states: AL, GA, MD, NC, SC, TN, VA.
  • Knowledge of workers’ compensation insurance coverage and the ability to apply knowledge in the performance of the job duties.
  • Skillful knowledge of claims processing procedures.
  • Ability to work with persons under adverse or highly emotional conditions.
  • Knowledge of organizational methods and the ability to manage multiple tasks/duties simultaneously. 
  • Willingness to pursue industry-related education.
  • Ability to work core business hours Monday – Friday and willingness to work extended hours, as necessary.

In addition to core benefits like health, dental and vision, also enjoy benefits such as:

    • Responsible Time Off
    • Tuition Reimbursement
    • Fitness Reimbursement
    • Parental Leave
    • 401k Profit Sharing
    • Flexible/remote work arrangements

    If you’re ready for a new and exciting opportunity to work for an amazing company and you think you have what it takes to be a Workers’ Compensation Claims Specialist for Creative Risk Solutions, apply today!

     

    EOE

    Pre-offer background check required.


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