Workers Compensation Claims Examiner

Spooner Incorporated is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1975, Spooner’s proactive philosophy and best practices have set the standard in workers’ compensation, preventing excessive compensation and medical costs in claims while assisting employees in early, healthy return to work.

The Workers Compensation Claims Examiner is primarily responsible for analyzing and processing complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.

• Report, investigate, manage, and resolve workers' compensation claims for assigned state(s).
• Assists the Claims Manager in identifying claim trends and developing safety recommendations to mitigate the company's overall cost of risk.
• Support the Risk Management department on risk-related projects.
• Gather data for resolving claims.
• Coordinate with medical/special investigators and vendor partners to reduce overall claims.
• Manage the litigation process to ensure timely and effective claims resolution.
• Participate in continuous improvement activities and other assigned duties.

Reports to the Claims Manager

• Associates Degree from an accredited college or university
• One (1) year of working in the claim’s environment
• Excellent communication and organization skills.
• Strong computer skills with working knowledge of Word, Excel, PowerPoint, Outlook.
• Ability to travel for work.

• Bachelor’s degree from an accredited college or university
• Knowledge of medical terminology
• Self-motivated, accepts responsibility, and enjoys a challenge
• Determined and focused on accomplishing tasks in a timely fashion
• Strong interpersonal and communication skills

The occupant is expected to freely operate the following tools and equipment: personal computer (including word processing, spreadsheet, and database programs); printer; calculator; telephone; copier; fax machine.

The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, carry or operate objects, tools or controls and reach with hands and arms.

The employee frequently is required to stand; talk or hear; walk, sit. Specific vision abilities required by this job include close vision and the ability to adjust focus.

The following questions are entirely optional. To comply with government Equal Employment Opportunity and/or Affiliation Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more.