Claims Examiner – Workers Comp

Role Overview

• Analyze complex or technically difficult workers' compensation claims to determine benefits due
• Work with high exposure claims involving litigation and rehabilitation
• Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements
• Identify subrogation of claims and negotiate settlements
• Communicate claim activity and processing with the claimant and the client; maintains professional client relationships

Requirements

• Bachelor's degree from an accredited college or university preferred
• Professional certification as applicable to line of business preferred
• Jurisdiction licensing needed, NH, VT, MA, CT, RI, DC, DE, WV, VA
• Five (5) years of claims management experience or equivalent combination of education and experience required.

Benefits

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits