Workers' Compensation Claims Representative
Stone Hendricks Group
full-time
Posted on:
Location Type: Hybrid
Location: Los Angeles • California • United States
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Salary
💰 $70,000 - $90,000 per year
About the role
- The Workers’ Compensation Claims Representative serves as the primary connection between insured clients and workers’ compensation insurance carriers.
- The representative is committed to supporting and advocating for insureds as they navigate the complex and ever-evolving California workers’ compensation system.
- This position ensures that claims are handled efficiently, accurately, and in compliance with applicable laws and procedures.
- The representative acts as an advocate for insureds, facilitates effective communication, and provides technical support and education throughout the claims process.
- The goal of this role is to enhance client satisfaction, improve claim outcomes, and support the brokerage’s service and retention objectives.
Requirements
- Associate’s or Bachelor’s degree in Business Administration, Risk Management, or a related field preferred.
- Minimum of 2–5 years of experience in workers’ compensation claims handling, carrier relations, or client advocacy within a brokerage, carrier, or TPA setting.
- Comprehensive understanding of state workers’ compensation statutes, medical case management practices, legal terminology and claims processes.
- Strong verbal and written communication skills with a client-service mindset, ability to resolve complaints and disputes.
- Proven ability to build and maintain effective professional relationships.
- Exceptional analytical, organizational, and problem-solving abilities.
- Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and claims management or CRM software.
- Ability to manage multiple priorities and deliver results in a fast-paced environment.
- Certifications (Preferred): Associate in Claims (AIC), Workers’ Compensation Claims Professional (WCCP), or similar industry designation.
- State adjuster license or Self-Insurance Administrator (SIP) certificate (if required by jurisdiction).
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
workers' compensation claims handlingcarrier relationsclient advocacystate workers' compensation statutesmedical case management practiceslegal terminologyclaims processesanalytical abilitiesorganizational abilitiesproblem-solving abilities
Soft Skills
verbal communication skillswritten communication skillsclient-service mindsetcomplaint resolutionrelationship buildingeffective communicationadvocacymulti-taskingresults deliveryfast-paced environment adaptability
Certifications
Associate in Claims (AIC)Workers’ Compensation Claims Professional (WCCP)state adjuster licenseSelf-Insurance Administrator (SIP) certificate