20 часов назад
Workers' Compensation Claims Analyst
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers' Compensation Claims Analyst (Workers' Compensation Claims): Managing and resolving complex workers’ compensation claims across multiple jurisdictions with an accent on claims investigation, compensability, reserves, litigation, and settlements. Focus on overseeing approximately 175–200 claims, coordinating with clients, carriers, TPAs, and attorneys, and reducing claim costs.
Location: Remote with an 8am–5pm PST or MST work schedule
Company
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 and multiple jurisdictions.
- Investigate and monitor claims, determine compensability, review documentation, and assess subrogation matters.
- Evaluate reserves and settlement authority, recommend cost-reduction strategies, and negotiate claim resolutions.
- Handle litigation requests, assist with defense attorney selection and supervision, and coordinate with carriers and third-party administrators.
- Provide claim oversight and guidance to clients, including claim reporting, QBRs, and client claim reviews.
- Prepare reports on claims, payments, and reserves while maintaining internal RMIS systems and service commitments.
Requirements
- 3+ years of workers’ compensation claims or TPA claims oversight experience.
- Availability for an 8am–5pm PST or MST work schedule.
- Strong written and verbal communication skills and the ability to coordinate with internal teams, senior management, clients, carriers, and TPAs.
- Detail orientation, deadline management, multitasking, and independent execution.
- Proficiency with Microsoft Office products.
- Ability to work remotely within a distributed team and travel occasionally.
Nice to have
- PEO or staffing workers’ compensation claims oversight experience.
- Additional workers’ compensation claims management experience across multiple jurisdictions.
Culture & Benefits
- Remote work in a distributed team.
- Inclusive, belonging-focused culture guided by engagement, integrity, tenacity, curiosity, happiness, and service.
- Competitive salary and benefits package.
- Occasional travel to support the distributed workforce.
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