REMOTE POSITION / CLAIMS PROCESSOR

Claims Examiner - Workers Compensation
Reciprocal Required (REMOTE - Only NC Residents)

Apply your knowledge and experience to adjudicate complex customer claims in an energetic culture.

Deliver innovative customer-facing solutions to clients across diverse industries.

Leverage our global network of experts for learning and sharing insights.

Take advantage of varied professional development opportunities.

Access diverse and comprehensive benefits for mental, physical, financial, and professional needs.

Analyze complex or technically difficult workers' compensation claims to determine benefits due; work with high exposure claims involving litigation and rehabilitation; ensure ongoing adjudication of claims within service expectations, industry best practices and client service requirements; We seek driven individuals embodying empathy, accountability, collaboration, growth, and inclusion.

Analyze and process complex workers' compensation claims, investigating and gathering information to determine exposures.

Manage claims through action plans to timely resolution.

approve claim payments and adjustments; settle claims within authority.

Manage litigation process; Coordinate vendor referrals for investigation and litigation management.

Use cost containment techniques, including vendor partnerships, to reduce overall claims cost.

Manage claim recoveries (subrogation, Second Injury Fund, Social Security, Medicare offsets).

Report claims to the excess carrier; Communicate claim activity with claimant and client; Ensure claim files are properly documented and coding is correct.

Travel as required.

Bachelor's degree from an accredited college or university preferred; Five (5) years of claims management experience or equivalent education and experience.

Subject matter expertise in insurance principles, recoveries, offsets, claim duration, cost containment, and related procedures.

PC literate, including Microsoft Office.

excellent judgment, troubleshooting, problem solving, analysis, and discretion; Computer keyboarding; travel as required.

Auditory/Visual
Flexible work schedule.

Opportunity to work in an agile environment.

Career development and promotional growth opportunities.

Diverse and comprehensive benefits: medical, dental, vision, 401(k) on day one.