Workers' Compensation Claim Representative

Responsibilities

• Effectively manage workers’ compensation claims requiring timely investigations and financial accuracy
• Provide benefit oversight, appropriate file disposition and adherence to statutory guidelines for all claims
• Leverage a network of professional resources that may include: doctors, nurses, attorney and regulators to facilitate our mission of restoring the lives of our claimants
• Provide exceptional customer service by establishing and maintaining productive business relationships with customers
• Utilize critical thinking skills to gather and analyze data information to inform critical claim decisions
• Provide accurate mathematical calculations of disability benefit rates and claim financial exposures
• Leverage contemporary technology to achieve accurate and efficient claim outcomes
• Consistently demonstrate professional diplomacy during all interactions with customers
• Contribute to a courageous culture that promotes collaboration to maximize operational performance and employee engagement
• Embrace a culture of continuous improvement

• Prior workers’ compensation insurance claim handling is preferred
• HS Diploma required, Bachelor’s Degree is preferred
• Excellent organizational skills, especially regarding prioritizing work activities
• Strong computer proficiency in the MS Office Suite (Word, Excel, Outlook & PowerPoint)
• Superb time management and organizational skills
• Ability to meet productivity targets in a fast-paced, team-oriented environment
• Excellent communication skills and negotiation skills
• Ability to adapt and flourish using industry-changing workflows
• Excellent written and verbal communication skills
• Demonstrates active listening to attentively meet the needs of our customers and exhibit empathy during difficult situations
• Ability to self-manage competing priorities while delivering accurate work within key timelines

Demonstrates expertise in managing workers' compensation claims with a focus on financial accuracy, timely investigations, and adherence to statutory guidelines. Excels in customer service, leveraging critical thinking and organizational skills to meet productivity targets in a fast-paced environment.

• Workers' Compensation Claims Management
• Financial Accuracy
• MS Office Suite Proficiency
• Excellent Communication Skills
• Critical Thinking

• Workers' Compensation Claims Handling
• Mathematical Calculations
• Data Analysis
• File Disposition
• Benefit Oversight

• Organizational Skills
• Time Management
• Active Listening
• Negotiation Skills
• Empathy

• Statutory Guidelines
• Customer Service
• Collaboration
• Continuous Improvement
• Productivity Targets

• MS Word
• MS Excel
• MS Outlook
• MS Power Point