Manage a desk and caseload of workers’ compensation claims in an efficient and professional manner
Investigate claims thoroughly, including coverage, liability, and exposure analysis
Evaluate claim exposure and maintain accurate and timely reserves
Manage litigation activity and coordinate with defense counsel as needed
Evaluate claims for settlement and negotiate resolutions with claimants and attorneys
Monitor and manage medical treatment activity and claim progression
Maintain accurate, timely, and organized claim documentation within the claims system
Ensure claim payments are processed accurately and timely
Support timely and compliant claim resolution strategies
Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
Participate in required training and maintain knowledge of assigned state workers’ compensation statutes
Perform additional duties and projects as assigned

Workers’ compensation claims handling experience required
Lost time workers’ compensation claims experience beneficial
Exposure to litigation management and settlement negotiations beneficial
Must reside in the state of Tennessee
Ability to manage multiple priorities in a fast paced environment
Analytical mindset with attention to detail and sound decision-making ability
Clear verbal and written communication skills
Ability to work independently and collaboratively within a team environment
Professional and customer-focused approach when working with clients and claimants
Proficiency with Microsoft Office applications and ability to learn new systems

Workers Compensation Claims Examiner

Key skills