Lost Time Workers Compensation

Job Description:

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature to achieve appropriate outcomes. In this position, you will administer and resolve the highest risk management expectations claims promptly by legal statues, policy provisions, and company guidelines.

Responsibilities:


Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable)
Ensure timely denial or payment of benefits by jurisdictional requirements
Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation, and disposition
Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced.


Requirements:


Bachelor's degree or four or more years of equivalent work experience required in an insurance-related industry required
At least 4 or 5 years experience handling lost time workers' compensation claims is required; experience with multiple jurisdictions is required. GA is mandatory. FL and AL are a bonus.
Active license required or ability to obtain license within 90 days of employment in mandated states.
Familiarity with medical terminology and/or Workers' Compensation
Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously
Ability to travel for business purposes, approximately less than 10%.

Skills :