Determine compensability and/or coverage issues for loss time workers' compensation claims.
Effectively manage a caseload of loss time claims from numerous jurisdictions.
Negotiate and direct settlements under management's review.
Gather medical and factual evidence to determine compensability.
Direct outside investigation and handle litigation files within given authority.
Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers.

A minimum of 3 years of insurance carrier experience required.
Experience handling claims in multiple jurisdictions, including: TN, GA, NC, SC, AL.
Bachelor's degree required.
Carrier experience preferred.
Experience in handling lost time or litigated claims.
Familiarity with medical terminology.
Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills.
Excellent verbal and written communication skills needed.

Medical (PPO/HDHP), vision, disability, and life insurance.
Enhanced dental plan with orthodontia coverage in addition to a standard plan.
Generous PTO plan for all benefit-time eligible employees.
Paid company holidays and 4 floating holidays.
Paid parental leave.
Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
Voluntary benefits that include accident, critical illness, and hospital indemnity.
Employee discount and rewards program on travel, tickets, electronics, home, and more.

Workers' Compensation Claims Representative

Key skills