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10 часов Π½Π°Π·Π°Π΄

Sr WC Claims Rep (Workers' Compensation)

69Β 000 - 89Β 000$
Π€ΠΎΡ€ΠΌΠ°Ρ‚ Ρ€Π°Π±ΠΎΡ‚Ρ‹
hybrid
Π’ΠΈΠΏ Ρ€Π°Π±ΠΎΡ‚Ρ‹
fulltime
Π“Ρ€Π΅ΠΉΠ΄
senior
Английский
b2
Π‘Ρ‚Ρ€Π°Π½Π°
US
Вакансия ΠΈΠ· списка Hirify.GlobalВакансия ΠΈΠ· Hirify Global, списка ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Ρ‹Ρ… tech-ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΠΉ
Для мэтча ΠΈ ΠΎΡ‚ΠΊΠ»ΠΈΠΊΠ° Π½ΡƒΠΆΠ΅Π½ Plus

ΠœΡΡ‚Ρ‡ & Π‘ΠΎΠΏΡ€ΠΎΠ²ΠΎΠ΄

Для мэтча с этой вакансиСй Π½ΡƒΠΆΠ΅Π½ Plus

ОписаниС вакансии

ВСкст:
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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: $69,000–$89,000 per year

Company

hirify.global 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.
  • 3–5 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.

Π‘ΡƒΠ΄ΡŒΡ‚Π΅ остороТны: Ссли Ρ€Π°Π±ΠΎΡ‚ΠΎΠ΄Π°Ρ‚Π΅Π»ΡŒ просит Π²ΠΎΠΉΡ‚ΠΈ Π² ΠΈΡ… систСму, ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡ iCloud/Google, ΠΏΡ€ΠΈΡΠ»Π°Ρ‚ΡŒ ΠΊΠΎΠ΄/ΠΏΠ°Ρ€ΠΎΠ»ΡŒ, Π·Π°ΠΏΡƒΡΡ‚ΠΈΡ‚ΡŒ ΠΊΠΎΠ΄/ПО, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡ‚Π΅ этого - это мошСнники. ΠžΠ±ΡΠ·Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ ΠΆΠΌΠΈΡ‚Π΅ "ΠŸΠΎΠΆΠ°Π»ΠΎΠ²Π°Ρ‚ΡŒΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡˆΠΈΡ‚Π΅ Π² ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΡƒ. ΠŸΠΎΠ΄Ρ€ΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β†’