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7 часов назад

Claims Management Specialist

Формат работы
remote (только USA)
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Claims Management Specialist (Workers' Compensation): Managing workers' compensation claims from injury reporting through closure with an accent on claim coordination, return-to-work programs, documentation, and stakeholder communication. Focus on analyzing claim history and loss trends, resolving claims efficiently, and supporting clients and injured employees.

Location: Remote Site - Texas, United States

Company

hirify.global provides services supporting clients, employees, insurance carriers, and workplace risk management.

What you will do

  • Coordinate workers' compensation claims from initial injury reporting through resolution and closure.
  • Act as the primary liaison among clients, injured employees, insurance carriers, adjusters, medical providers, payroll, HR, and internal stakeholders.
  • Explain claims procedures, reporting requirements, return-to-work programs, available resources, and participant responsibilities.
  • Coordinate claim documentation, wage reporting, communications, and return-to-work activities.
  • Monitor claim progress, participate in client claim reviews, and support efficient claim resolution.
  • Maintain accurate records and reporting, analyze claims history and loss trends, and maintain required certifications.

Requirements

  • Bachelor's degree in Human Resources, Risk Management and Insurance, or a related field preferred.
  • At least four years of experience in claims management or a related field.
  • Working knowledge of workers' compensation claims processes, return-to-work programs, and claim resolution practices.
  • Bilingual Spanish language ability is required.
  • Strong organization, analytical, problem-solving, judgment, communication, customer service, and relationship management skills.
  • Ability to perform sedentary activities while sitting and standing for long periods.

Nice to have

  • Knowledge of OSHA regulations, workplace safety practices, and accident prevention programs.

Culture & Benefits

  • Full-time employment with a focus on work-life balance.
  • Healthcare coverage options and traditional and Roth 401(k) retirement plans.
  • Career growth opportunities, continuing education, and career certifications.
  • Leadership Academy and Mentor Program.
  • Employee engagement activities, recognition awards, service awards, and a wellness program.
  • Substance-free workplace with pre-employment drug testing; tobacco users are not hired where permitted by law.

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