5 дней назад
WC Claims Representative - Charlotte, NC (Hybrid)
60 000 - 78 000$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
WC Claims Representative - Charlotte, NC (Hybrid) (Workers' Compensation Claims): Investigating and managing lost-time workers' compensation claims for the Heartland Region with an accent on coverage analysis, compensability decisions, benefits administration, and regulatory compliance. Focus on evaluating claim exposure, coordinating medical and disability management, documenting files, and resolving litigated and non-litigated claims.
Location: Charlotte, North Carolina, United States; hybrid
Salary: USD 60,000–78,000 per year
Company
is a midsized U.S. property and casualty insurance company serving customers after insured losses.
What you will do
- Investigate assigned lost-time workers' compensation claims to determine coverage and compensability.
- Manage claims with disability periods generally up to eight weeks and exposure below $75,000, with occasional higher-severity claims.
- Set reserves, evaluate exposure, analyze investigative information, process payments, and bring claims to resolution.
- Maintain claim documentation, diaries, state filings, and compliance with applicable regulations.
- Handle litigated and non-litigated claims and participate in claim reviews and settlement conferences.
- Collaborate with nurses, medical providers, employers, employees, and vendors on medical and disability management.
Requirements
- Knowledge of workers' compensation statutes, coverage, and case law.
- Working knowledge of medical treatment and terminology related to workers' compensation claims.
- Strong written and verbal communication skills and critical-thinking ability.
- 1–3 years of claims experience preferred.
- Experience handling claims in Iowa, Indiana, Illinois, Kansas, Michigan, Minnesota, Missouri, or Wisconsin preferred.
- A college degree is preferred.
Culture & Benefits
- Hybrid work environment in Charlotte.
- Comprehensive health care plans and retirement savings with company match.
- Incentive plan eligibility and discounted employee stock purchase program.
- Tuition assistance and reimbursement programs.
- 20 days of paid time off.
- Inclusive workplace focused on diverse perspectives and employee contribution.
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