Workers' Compensation Claims Specialist III - Northeast

We are looking to add a Workers' Compensation Specialist to join our CRS team. Candidates thrive in our environment when they harness their collaborative mindset, strong interpersonal communication skills, and a love of learning. The person in this position will service self-insured accounts and will telecommute for this role. Qualified candidates will have jurisdictional experience in one or more of the following states: MD, PA, VT, NH, ME, NY.

Duties:

Work closely with Leaders and Business Partners to:

  • Receive, gather and accurately transmit workers’ compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner.
  • Investigate, evaluate, and resolve lost time Workers’ Compensation claims, including litigated claims.
  • Mediate situations as they arise between the insured and the insurance company, to include researching coverage issues.
  • Enter and maintain accurate information on a computer system during the claim process, to include final settlement information.
  • Generate checks for indemnity and medical payments daily.
  • Compile and interpret Workers’ compensation reports on designated accounts, as requested.
  • Participate in claim reviews when requested by agency partners or insured. These could be in person or by phone.    
  • Ability to adjudicate lost time claims in multiple jurisdictions.
  • Develop and monitor consistency in procedural matters of claims handling process within CRS.
  • Willingness to become licensed if required in jurisdiction where claims are handled

Qualifications:

  • 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: MD, PA, VT, NH, ME, NY.
  • 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, 8am-4:45pm and willingness to work extended hours, as necessary

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

  • Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey!
  • Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
  • 401k Profit Sharing — Each year, we makes a lump sum contribution to every full-time employee’s 401k. This means, even if you’re not in a position to set money aside for the future at any point in time, we will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
  • Flexible work arrangements and schedules — We truly want to know what works for you as we look to support your unique and full potential.
  • Generous time off practices in addition to paid holidays — Yes, we actually encourage employees to use their time off, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first.
  • Supportive of community efforts with paid volunteer time off and employee matching gifts to charities that are important to you — Through our foundation, we offer several vehicles where you can make an impact and care for those around you.
  • DE&I programs — we are committed to celebrating every employee’s unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish!
  • Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing. Yes, there is an annual opportunity to make more money! Who doesn’t love that?!

EOE

Pre-offer background check required.


Apply Now