10 ΡΠ°ΡΠΎΠ² Π½Π°Π·Π°Π΄
Sr WC Claims Rep (Workers' Compensation)
69Β 000 - 89Β 000$
ΠΡΡΡ & Π‘ΠΎΠΏΡΠΎΠ²ΠΎΠ΄
ΠΠ»Ρ ΠΌΡΡΡΠ° Ρ ΡΡΠΎΠΉ Π²Π°ΠΊΠ°Π½ΡΠΈΠ΅ΠΉ Π½ΡΠΆΠ΅Π½ Plus
ΠΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²Π°ΠΊΠ°Π½ΡΠΈΠΈ
Π’Π΅ΠΊΡΡ:
TL;DR
Sr WC Claims Rep (Workers' Compensation) (Insurance Claims): Investigating and resolving complex lost-time workers' compensation claims in Charlotte with an accent on coverage, compensability, medical causality, litigation, and regulatory compliance. Focus on evaluating high-exposure claims, managing disputed and litigated cases, coordinating with nurses and counsel, and bringing claims to timely resolution.
Location: Charlotte, North Carolina, United States; hybrid schedule with 2 days in the office and 3 days remote
Salary: $69,000β$89,000 per year
Company
is a midsized U.S. domestic property and casualty insurance company with nearly 100 years of financial performance.
What you will do
- Investigate assigned lost-time workers' compensation claims, including claims with disability periods longer than 10 weeks.
- Determine coverage and compensability using jurisdictional guidelines, statutes, case law, and claim facts.
- Set reserves, evaluate exposure above $100,000, analyze investigative data, make payments, and resolve claims.
- Manage both litigated and non-litigated cases in collaboration with Staff Counsel and Panel Counsel.
- Coordinate medical and disability management with nurses and vendors to support return to work.
- Document claim files, submit state forms, participate in claim reviews and settlement conferences, and maintain regulatory compliance.
Requirements
- Knowledge of workers' compensation statutes, coverage, and case law.
- Working knowledge of medical treatment and terminology related to workers' compensation claims.
- Critical-thinking skills for assessing claim compensability in relation to facts and applicable law.
- Excellent written and verbal communication skills.
- 3β5 years of claims experience preferred.
- A college degree is preferred.
Culture & Benefits
- Hybrid work arrangement with three remote days per week.
- Competitive base salary and incentive plan eligibility.
- Comprehensive healthcare plans and a retirement savings plan with company match.
- Discounted employee stock purchase program.
- Tuition assistance and reimbursement programs.
- 20 days of paid time off.
ΠΡΠ΄ΡΡΠ΅ ΠΎΡΡΠΎΡΠΎΠΆΠ½Ρ: Π΅ΡΠ»ΠΈ ΡΠ°Π±ΠΎΡΠΎΠ΄Π°ΡΠ΅Π»Ρ ΠΏΡΠΎΡΠΈΡ Π²ΠΎΠΉΡΠΈ Π² ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ iCloud/Google, ΠΏΡΠΈΡΠ»Π°ΡΡ ΠΊΠΎΠ΄/ΠΏΠ°ΡΠΎΠ»Ρ, Π·Π°ΠΏΡΡΡΠΈΡΡ ΠΊΠΎΠ΄/ΠΠ, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡΠ΅ ΡΡΠΎΠ³ΠΎ - ΡΡΠΎ ΠΌΠΎΡΠ΅Π½Π½ΠΈΠΊΠΈ. ΠΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎ ΠΆΠΌΠΈΡΠ΅ "ΠΠΎΠΆΠ°Π»ΠΎΠ²Π°ΡΡΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡΠΈΡΠ΅ Π² ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΡ. ΠΠΎΠ΄ΡΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β