Workers Compensation Specialist

TAG - The Aspen Group

Workers’ compensation specialist managing multi-state claims for U.S. retail healthcare support organization.

Posted 8/18/2026full-timeRemote • New York • 🇺🇸 United StatesJuniorMid-Level💰 $70,000 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing workers' compensation claims, including compliance, risk management, and effective communication with stakeholders. Proficient in utilizing Risk Management Information Systems (RMIS) and Microsoft Office to analyze claims data and optimize management procedures.

Highest-signal resume keywords

Claims ManagementRisk Management Information Systems (RMIS)Workers' Compensation ComplianceCustomer Service ExperienceData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisIncident ReportingClaims ReportingLoss Prevention StrategiesPayroll ManagementData CompilationRegulatory InterpretationProgram ImplementationReturn-to-Work CoordinationBLS Reporting

Soft Skills

Strong Organizational SkillsEffective CommunicationProblem-Solving AbilitiesTime ManagementInitiative

Tools & Technologies

Microsoft OfficeRisk Management Information Systems (RMIS)

Industry Keywords

Workers' CompensationClaims AdministrationMulti-State Program ManagementSafety TrainingClaims Optimization

About the role

Key responsibilities & impact

Manage administration of employee workers’ compensation claims for multiple companies across multiple states
Manage insurance carriers, vendor partners, and other claims-related service providers
Support Loss Control and Safety Training activities
Formulate, develop, and coordinate claim-related activities to mitigate workers’ compensation risk and claims
Ensure compliance across TAG and supported practices
Facilitate workers’ compensation claim activities and develop strategies to optimize claim management procedures
Review and manage employee and patient incident reports from initial report through closure
Determine whether claims should be reported to carriers
Handle payroll and claims reporting for monopolistic states
Explain the claim process directly to employees
Coordinate return-to-work programs with HR, medical providers, management, and third parties
Direct third parties to resolve claims quickly and cost-effectively
Process injured-worker treatment and billing
Gather claims data and information and facilitate claim reviews
Complete annual BLS reporting to states
Manage workers’ compensation policy retention and updates based on entity changes
Maintain internal claim files
Compile, review, and analyze reports to identify trends
Report applicable Urgent Care events and claims to insurance carriers
Create and maintain data in information systems or databases
Build and manage relationships with third parties, insurance carriers, outside legal counsel, and other claims-related parties
Assist with safety training and provide input on safety issues
Support risk projects and initiatives and promote loss-prevention strategies

Requirements

What you’ll need

College degree preferred, or more than two years of claims experience
Minimum 2 years of experience as a claims analyst, administrator, or in a similar function
Ability to lead a multi-state program involving employees who are not onsite at the same location
Customer service experience
Ability to investigate and direct the claims management process
Proficiency with Microsoft Office
Proficiency with Risk Management Information Systems (RMIS)
Strong organizational skills
Strong written and verbal communication skills
History of implementing programs that positively impact claim costs is a plus
Technical and professional expertise in claims management and loss prevention
Ability to adapt to changing priorities
Ability to communicate effectively and collaborate
Initiative, problem-solving, analytical, and results-driven abilities
Honesty and integrity
Ability to maintain confidentiality
Ability to read and interpret regulatory rules and regulations
Strong presentation skills
Time management skills

Benefits

Comp & perks

Bonus incentives
Generous benefits package
Paid time off
Health insurance
Dental insurance
Vision insurance
401(k) savings plan with match