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Workers' Compensation Claims Analyst

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
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
Workers' Compensation Claims Analyst (Risk Management): Managing complex workers’ compensation claims across multiple jurisdictions with an accent on claim investigation, compensability decisions, reserves, litigation, and settlement negotiations. Focus on overseeing approximately 175–200 claims, coordinating with carriers and third-party administrators, and reducing claim costs through resolution strategies.

Location: Remote; must work an 8am–5pm Pacific Standard Time or Mountain Standard Time schedule

Company

hirify.global is a professional employer organization providing payroll, human resources, benefits, and risk management solutions to small and medium-sized blue- and gray-collar businesses.

What you will do

  • Manage approximately 175–200 workers’ compensation claims across assigned multistate territories, including medical-only and indemnity/lost-time claims.
  • Investigate and monitor claims, determine compensability, review medical and legal documentation, and assess subrogation matters.
  • Evaluate reserves and settlements, handle litigation requests, recommend cost-reduction strategies, and support claim closure.
  • Coordinate with clients, insurance carriers, third-party administrators, regional teams, senior management, and defense attorneys.
  • Provide client claim oversight, guidance on claim reporting, claims reviews, QBR participation, and detailed reports on claims, payments, and reserves.
  • Maintain compliance with service commitments while managing multiple internal RMIS systems.

Requirements

  • 3+ years of workers’ compensation claims experience and/or third-party administrator claims oversight experience required.
  • Availability for an 8am–5pm PST or MST schedule required.
  • Ability to manage multiple projects, meet deadlines, perform detail-oriented work, and communicate effectively orally and in writing.
  • Proficiency with Microsoft Office products.
  • Ability to work remotely as a self-starter in a distributed team.
  • Ability to communicate and coordinate with workers’ compensation team members, regional teams, senior management, clients, carriers, and TPAs.

Nice to have

  • PEO or staffing workers’ compensation claims oversight experience.
  • Workers’ compensation claims management experience across multiple jurisdictions.
  • Previous experience working remotely in a distributed team.

Culture & Benefits

  • Innovative, growth-oriented PEO environment focused on engagement, integrity, tenacity, curiosity, happiness, and service.
  • Opportunity to make a meaningful impact within a high-performing team.
  • Competitive salary and benefits package.
  • Regular communication and occasional travel may be required to support the distributed workforce.
  • Reasonable accommodations may be available for individuals with disabilities.

Hiring process

  • hirify.global does not send unsolicited offers without an application and interview.
  • hirify.global does not ask candidates to pay fees, purchase equipment, or provide banking details to secure a position.

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