Claims Administrator

Workers' Compensation Claims Administrator

At ESS our motto is, "Every day counts!" We take opportunities every day to grow and better our company as well as our employees.

OVERVIEW: The successful candidate is responsible for managing and overseeing workplace injury claims from initial report through resolution. This role ensures timely, accurate processing of claims while maintaining compliance with all applicable regulations and company policies. The Claims Administrator partners with employees, managers, insurance carriers, and medical providers to facilitate effective claim handling, support injured employees, and promote safe and cost-effective outcomes.

This position requires strong attention to detail, the ability to manage multiple cases simultaneously, and excellent communication skills to navigate sensitive situations and provide consistent updates to all stakeholders.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Administer and manage a caseload of workers' compensation claims from initial report through closure.
• Monitor claim progress, ensuring timely follow-ups and compliance with all regulatory requirements.
• Coordinate with insurance carriers, third-party administrators (TPAs), legal counsel, medical providers, and internal stakeholders.
• Maintain accurate, complete, and confidential claim records in accordance with company and legal requirements.
• Identify trends and recommend strategies to reduce claim costs and improve outcomes.
• Advise management on claim status, risk exposure, and corrective actions.
• Participate in audits and support continuous process improvement initiatives.

QUALIFICATIONS & EXPERIENCE:

• Bachelor's degree preferred or equivalent experience, with 2+ years in workers' compensation, claims administration, or a related field
• Working knowledge of workers' compensation laws and experience managing full claims lifecycle (intake through resolution)
• Strong attention to detail with the ability to interpret medical and legal documentation
• Excellent organizational, multitasking, and problem-solving skills in a fast-paced environment
• Strong interpersonal and communication skills; ability to collaborate effectively with employees, managers, and insurers
• Ability to handle confidential information with professionalism
• Proficiency in Microsoft Office; experience with claims systems preferred

ESS ADVANTAGES:

• Health insurance (medical, dental, vision, STD/LTD)
• PTO (vacation, personal, sick time)
• 401(k)

PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee must occasionally lift and/or move up to 25 pounds.
• While performing the duties of this job, the employee regularly stands, walks, sits, uses hands to finger, handle, or feel, reaches with hands and arms, talk or hear.

VISION REQUIREMENTS - Close vision (clear vision at 20 inches or less) to work on the computer.


WORK ENVIRONMENT - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.


This position works in an environment with moderate noise level. (Examples: business office with computers and printers, light traffic.)


Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons, with or without notice. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.