Claims Representative – Workers' Compensation
biBerk Business Insurance
full-time
Posted on:
Location Type: Remote
Location: California • Florida • United States
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Salary
💰 $80,000 - $95,000 per year
About the role
- Determine compensability and/or coverage issues for loss time workers' compensation claims
- Effectively manage a caseload of loss time claims from numerous jurisdictions
- Negotiate and direct settlements under management's review
- Gather medical and factual evidence to determine compensability
- Direct outside investigation and handle litigation files within given authority
- Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers
Requirements
- A minimum of 5 years of experience required
- Experience handling claims in multiple jurisdictions, including FL and GA.
- Bachelor's degree required
- Adjuster license required
- Carrier experience preferred
- Experience in handling lost time or litigated claims
- Familiarity with medical terminology
- Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
- Excellent verbal and written communication skills needed.
Benefits
- Medical (PPO/HDHP), vision, disability, and life insurance.
- Enhanced dental plan with orthodontia coverage in addition to a standard plan.
- Generous PTO plan for all benefit-time eligible employees.
- Paid company holidays and 4 floating holidays.
- Paid parental leave.
- Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
- Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
- Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
- Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
- Voluntary benefits that include accident, critical illness, and hospital indemnity.
- Employee discount and rewards program on travel, tickets, electronics, home, and more.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementnegotiationlitigation handlingmedical terminologycompensability determinationsettlement directioninvestigation coordinationcaseload managementjurisdictional knowledge
Soft Skills
organizational skillsproblem solvingconflict resolutionverbal communicationwritten communication
Certifications
adjuster licenseBachelor's degree