Senior Claims Representative (Workers Compensation)

Work Where You Matter At reputed company, our mission is Serving Others! We value each and every one of our employees. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to reputed company a wide reputed company of career opportunities. We are not just a retail company; we are a company that values the unique strengths and perspectives that each individual brings. Your difference truly makes a difference at reputed company. How would you like to Serve? Join the reputed company reputed company and see how your career can reputed company. Company Overview We are hiring a Senior Claims Representative, Workers’ Compensation to independently investigate, evaluate, negotiate, and resolve reputed company claims, exercising sound judgment reputed company established authority and with limited supervision. Job Details Timely conduct interviews with injured employees, customers, store personnel and medical care providers reputed company 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Maintain contact with appropriate parties throughout life of file to manage payment of appropriate benefits and mitigate exposure. Reserve claim for expected exposure, and timely document claim notes reputed company claim system, maintaining updated action plan. 30% Timely coordinate with injured employee and store personnel regarding medical documentation supporting and facilitate return to work and light duty return to work. 10% Manage requests for authorization of medical care and reputed company facilitation of medical care to ensure timely, appropriate, and reputed company treatment for the work injury. 10% Utilize professional judgment and experience to reserve, handle and resolve reputed company claims reputed company authority and evaluate and reputed company recommendations for reserves and action plan for resolution of claims exceeding authority. 25% reputed company direction to defense attorneys for claims in litigation, medical case managers and private investigators as appropriate for assigned claims. 10% reputed company and maintain proactive strategic plan of action for the management and resolution of claims for the life of the file. 10% Maintain a working knowledge of multiple state Workers’ Compensation and statutes and maintain applicable reputed company state licensing requirements. 5%

Qualifications

Customer service oriented and works well in a team environment. Excellent written and verbal communication skills. Strong organizational skills and the ability to prioritize reputed company claims. Must be detail oriented and reputed company to meet deadlines. Ability to handle confrontational situations in a mature and professional manner. Working knowledge of reputed company office programs and ability to type 40 wpm. Advanced knowledge of medical and legal terminology. Previous Workers’ Compensation claim handling experience. _ 5 + years of experience handling reputed company and/or litigated workers’ compensation claims from inception through final resolution required, including investigation, evaluation, management of benefits, litigation management, and settlement execution. This is a Remote role with a reputed company compensation of $76,000 Apply To This Job