Workers Compensation Claims Examiner - Remote

About the Role

We are seeking a dedicated Workers Compensation Claims Examiner to join our team remotely. As a Workers Compensation Claims Examiner, you will play a crucial role in evaluating and processing claims, ensuring that our clients receive the support they need. This position offers a unique opportunity to work in a supportive and inclusive workplace culture while leveraging advanced AI-enabled technology to enhance your efficiency and effectiveness.

What You'll Do

• Review and analyze workers compensation claims to determine the validity and extent of liability.
• Communicate with claimants, employers, and medical professionals to gather necessary information.
• Utilize advanced technology to streamline the claims process and improve accuracy.
• Make informed decisions regarding claim approvals and denials based on thorough investigations.
• Maintain detailed records of claims and ensure compliance with relevant regulations.
• Collaborate with team members to foster a positive work environment and share best practices.
• Provide exceptional customer service to claimants and stakeholders throughout the claims process.
• Participate in ongoing training and professional development opportunities to enhance your skills.

Requirements

• 2-5 years of experience in claims management or a related field.
• Strong understanding of workers compensation laws and regulations.
• Excellent communication and negotiation skills.
• Proficiency in using claims management software and AI tools.
• Ability to work independently and as part of a team.
• Detail-oriented with strong analytical skills.
• Commitment to providing high-quality service to clients.

Nice to Have

• Experience in customer service or risk management.
• Knowledge of insurance principles and liability assessment.
• Leadership experience or interest in mentoring junior staff.

What We Offer

• Comprehensive benefits package including medical, dental, and vision coverage.
• 401k plan with matching contributions to secure your future.
• Generous paid time off and disability insurance for work-life balance.
• Employee assistance programs to support your well-being.
• Flexible spending or health savings accounts for healthcare expenses.
• Opportunities for professional growth and advancement within the company.
• A supportive and inclusive workplace culture that values diversity.
• Recognition as a top workplace in financial services.