Claims Specialist I, Workers Compensation

Responsibilities

As a Claims Specialist, you will investigate medical and/or loss-of-time workers’ compensation claims with limited exposures from multiple states to determine compensability, entitled benefits, and average weekly wage according to the applicable state workers’ compensation statute. You will provide appropriate notices to policyholders and injured employees, complete and file notices of injury, employ claims management techniques, maintain contact with customers and injured workers, utilize nurse case management services, evaluate exposures, manage case reserves, and document claim activity. You will also consult with internal specialists, evaluate pertinent information, pursue return to work initiatives, and negotiate settlements as appropriate, all while adhering to company policies and procedures and making decisions within delegated authority.