7 часов назад
Claims Management Specialist
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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