Workers Compensation Claims Analyst

. Manage claims within organizational standards and best practices .

Posted 5/1/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $31 - $46 per hourWebsite

Key responsibilities & impact

Manage claims within organizational standards and best practices
Responsible for the adjudication of medical only claims and limited lost time workers' compensation claims
Work closely with case managers, attorneys, and vendors
Manage subrogation liens and negotiate claim settlements to achieve the best possible outcome
Complete appropriate contacts within 24 hours of assignment
Establish and maintain appropriate diary for follow-up
Evaluate and determine compensability of workers’ compensation claims
Monitor and control costs, timely documentation of the electronic claim file
Communicate claim status with the injured teammate and other parties as necessary
Develop action plans and strategies for prompt payment/denial of claims

What you’ll need

Bachelor's degree required or a combination of education and related experience
Adjusters license for assigned jurisdiction as required by specific jurisdiction as applicable
2-5+ years’ experience managing progressively difficult Workers Compensation lost time claims
Proficiency in MS Office
Preferred: Associates in Claims designation
Experience with self-insured/self-administered organizations
Experience with Riskconnect and/or Origami

Comp & perks

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

adjudicationclaims managementnegotiationcost controldocumentationcompensability evaluationaction plan developmentstrategy development

Soft Skills

communicationorganizational skillsinterpersonal skillsproblem-solving

Certifications

Adjusters licenseAssociates in Claims designation