Manage and support a caseload of multi-state claims, including workers’ compensation, indemnity, employer’s liability, and subrogation exposures
Conduct initial claim investigations, including gathering information and communicating with involved parties
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders throughout the claims process
Maintain accurate and timely documentation within the claims management system
Support timely delivery of benefits, notices, and claim related communications
Coordinate return to work activities and follow up with medical providers and employers as needed
Assist with litigation management activities and coordination with defense counsel when applicable
Review medical and expense documentation for accuracy and claim relevance
Prepare claim status updates and participate in claim review discussions
Collaborate with leadership and team members on complex or escalated claims
Support timely and professional claim resolution strategies
Perform additional duties and projects as assigned

Previous claims, insurance, customer service, healthcare, legal support, administrative, or related professional experience beneficial
Workers’ compensation claims experience beneficial but not required
Interest in learning claims handling and insurance operations
Ability to manage multiple priorities in a fast paced environment
Attention to detail and ability to maintain accurate documentation
Problem-solving and critical-thinking abilities
Clear verbal and written communication skills
Ability to work both independently and collaboratively within a team environment
Proficiency with Microsoft Office and ability to learn new systems and software
Litigation exposure or claims handling experience beneficial

Claims Specialist

Key skills