Worker Compensation Claims Examiner

Job Description

The Medical Only and Subrogation Oversight Claims Examiner is responsible for the management of Medical Only workers' compensation claims and the oversight of workers' compensation liens and subrogation matters. This position works collaboratively with Workers' Compensation Claims Examiners and various stakeholders to ensure timely and accurate claim resolution while protecting the organization's financial interests.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

• Bachelor's degree in Business Administration, Risk Management, Healthcare Administration, Paralegal Studies, or a related field

• An Associate's degree with additional relevant experience may be considered in lieu of a Bachelor's degree

• Paralegal certificate or coursework in contract law is a plus

• Workers' Compensation certification (e.g., Associate in Claims - AIC) preferred

• Minimum 2-3 years of experience in workers' compensation claims management, insurance, or a related field

• Experience handling Medical Only workers' compensation claims

• Knowledge of subrogation principles and lien management within workers' compensation

• Familiarity with contract language, including indemnification clauses and liability agreements