Workers Compensation, Claims Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Workers Compensation, Claims Specialist based in the United States.

This role focuses on managing complex workers’ compensation claims from initial intake through resolution, ensuring fair, timely, and compliant outcomes for all parties involved.
You will investigate claims, determine compensability, and evaluate benefits in accordance with multi-state regulations and statutory requirements.
The position requires strong analytical thinking, negotiation skills, and the ability to balance customer service with cost and risk management.
You will interact regularly with injured workers, policyholders, medical providers, attorneys, and internal specialists to drive effective case outcomes.
A key part of the role involves maintaining accurate reserves, documenting claim activity, and ensuring regulatory reporting compliance.
You will operate in a fast-paced, autonomous environment where sound judgment and proactive decision-making are essential.
The role also supports return-to-work initiatives and continuous improvement of claims handling practices.

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Workers Compensation, Claims Specialist based in the United States.

This role focuses on managing complex workers’ compensation claims from initial intake through resolution, ensuring fair, timely, and compliant outcomes for all parties involved.
You will investigate claims, determine compensability, and evaluate benefits in accordance with multi-state regulations and statutory requirements.
The position requires strong analytical thinking, negotiation skills, and the ability to balance customer service with cost and risk management.
You will interact regularly with injured workers, policyholders, medical providers, attorneys, and internal specialists to drive effective case outcomes.
A key part of the role involves maintaining accurate reserves, documenting claim activity, and ensuring regulatory reporting compliance.
You will operate in a fast-paced, autonomous environment where sound judgment and proactive decision-making are essential.
The role also supports return-to-work initiatives and continuous improvement of claims handling practices.