WC Claims Representative
WC Claims Representative
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Job Description
Job Summary
This position is for an experienced Workers Compensation (WC) Claims Representative to manage lost time claims. The role involves working remotely to handle claims from multiple jurisdictions including North Carolina South Carolina and Tennessee. The successful candidate will be responsible for evaluating compensability negotiating settlements and overseeing the entire claims process while maintaining consistent communication with stakeholders.
Responsibilities
- Determine compensability and coverage issues for lost time workers compensation claims.
- Effectively manage a caseload of lost time claims across multiple jurisdictions (NC SC TN).
- Negotiate and direct settlements with management review.
- Gather medical and factual evidence to assess compensability.
- Direct external investigations and handle litigation files within given authority.
- Maintain regular contact with claimants attorneys outside investigators rehabilitation personnel and medical providers.
- Collaborate with insureds account liaisons and other stakeholders to ensure claims are managed efficiently.
Qualifications/Requirements
- Minimum of three years of experience handling workers compensation claims.
- Experience managing claims in North Carolina South Carolina and/or Tennessee.
- Bachelors degree required.
- Carrier experience is preferred.
- Proven experience handling lost time or litigated claims.
- Familiarity with medical terminology.
- Strong organizational problemsolving negotiation and conflict resolution skills.
- Excellent verbal and written communication skills.
Compensation Package
- Salary: $70K $87K per year (based on experience).
- Competitive benefits package paid time off professional development opportunities etc.
- Fully remote work schedule.
Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.
#LIBC1
Required Experience:
Unclear Seniority
Employment Type
Full-Time
