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2 дня назад

Workers Compensation Claims Examiner

Формат работы
remote (только USA)/hybrid
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

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Описание вакансии

Текст:
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TL;DR
Workers Compensation Claims Examiner (Workers’ Compensation Claims): Managing lost time workers’ compensation claims from assignment through resolution with an accent on claim investigation, liability and exposure evaluation, reserves, litigation, medical activity, and settlement negotiations. Focus on handling complex Alabama claims, maintaining compliant documentation and payments, and coordinating with claimants, attorneys, medical providers, employers, and clients.

Location: Alabama, United States; fully remote, with an on-site presence expected to support collaboration, team leadership, and cross-functional partnership.

Company

hirify.global is a global fintech and insurance services company providing solutions across insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services.

What you will do

  • Manage a desk and caseload of Alabama workers’ compensation claims from assignment through resolution.
  • Investigate coverage, liability, and exposure, and maintain accurate and timely reserves.
  • Monitor medical treatment, claim progression, payments, documentation, and compliance.
  • Manage litigation activity and coordinate with defense counsel.
  • Evaluate claims for settlement and negotiate resolutions with claimants and attorneys.
  • Communicate with employers, injured workers, attorneys, medical providers, and clients throughout the claims process.

Requirements

  • Required experience handling workers’ compensation claims.
  • Experience with lost time workers’ compensation claims is beneficial.
  • Ability to manage multiple priorities in a fast-paced environment and make sound decisions.
  • Clear verbal and written communication skills and the ability to work independently and collaboratively.
  • Professional, customer-focused approach when working with clients and claimants.
  • High school diploma or equivalent and proficiency with Microsoft Office applications.

Nice to have

  • Exposure to litigation management and settlement negotiations.
  • Bachelor’s degree.
  • Adjuster licensing or ability to obtain licensing as required.

Culture & Benefits

  • Collaborative environment focused on leadership, accountability, and professional growth.
  • Medical, dental, vision, life, and disability insurance.
  • Paid sick time, paid time off, holidays, maternity and paternity leave, and an Employee Assistance Program.
  • 401(k) with immediate vesting, HSA, FSA, commuter benefits, and employee discount programs.
  • Fertility benefits, wellness resources, Calm app subscription, legal plans, and pet insurance.

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