Claims Specialist

The Claims Specialist is responsible for managing a caseload of workers’ compensation claims and assisting with task specific support to the department. 

Benefits:

• Medical, dental, and vision plans
• 401(k) retirement plan with generous company match
• Employee Stock Ownership Plan (ESOP)
• Paid holidays, sick leave, and vacation
• Wellness program
• Tuition reimbursement program
• Remote work environment

• Investigates facts surrounding work comp claims.   
• Coordinates and supervises third-part administrator (TPA) adjustment of claims.   
• Coordinates claims in monopolistic states.
• Determines subrogation potential and pursues recovery if applicable.
• Receives initial reports of all claim types.
• Handles lower severity level workers’ compensation claims.
• Submits workers’ compensation claims to our TPA for handling.
• Communicates with injured worker and manager to process work releases, accommodations, and restrictions.
• Communicates with our TPA regarding work status, treatment, etc.
• Summarizes and documents all activity in claims database and resolves claims in a timely fashion.
• Determines subrogation potential and pursues recovery if applicable.
• Maintains records for OSHA injury and illness record keeping and reporting.
• Assists with task specific requests from the Workers’ Compensation Supervisor and other Workers’ Compensation Analysts.
• Additional tasks as assigned from the team

• High School Diploma
• 1+ years of related work experience.
• Good written and verbal communications skills (grammar) are required
• Experience or prior training in customer service
• Efficient keyboarding skills
• Must be detail oriented and possess organizational skills.
• Excellent Microsoft Office skills including Excel, Word, etc.
• Must be a Citizen or National of the United States, a lawful, permanent resident, or have authorization to work in the United States
• Applicants must not now, or any time in the future, require sponsorship for an employment visa.