Demo

Remote Workers' Compensation Claims Professional | WFH

Get It - Real Estate
New York, NY Remote Full Time
POSTED ON 3/12/2025
AVAILABLE BEFORE 4/12/2025
Job Overview

Join our esteemed team as a Claims Professional specializing in Workers’ Compensation. In this pivotal role, you will play a vital part in supporting injured workers while leveraging your expertise in a reputable organization known for exceptional customer service and successful outcomes. This is an excellent opportunity for personal and professional growth within a company that prioritizes its employees' welfare. Please note, this position is remote, but applicants must reside in MN, WI, or IA.

Key Responsibilities

  • Oversee workers’ compensation claims for MN and WI, focusing primarily on MN assigned risk pool claims.
  • Conduct comprehensive investigations to ascertain liability, in compliance with state regulations and best practices.
  • Calculate lost wages and manage intricate medical claims from initiation to conclusion.
  • Communicate effectively with injured workers and employers regarding wellness, stay-at-work, or return-to-work strategies, ensuring transparency throughout the process.
  • Authorize payments for medical and wage loss benefits.
  • Coordinate medical, rehabilitation, and legal services while ensuring proper documentation.
  • Conduct field visits as necessary (may include travel).
  • Establish and manage case reserves, escalating issues as needed.
  • Advise employers on risk exposure/reserves and strategies for mitigation.
  • Formulate and document plans to achieve timely case resolutions.

Required Skills

  • Proficient understanding of medical terminology, anatomy, and procedures.
  • Knowledge of the relevant state Workers' Compensation Act.
  • Competence in state regulatory reporting.
  • Exceptional customer service and interpersonal abilities.
  • Strong verbal and written communication skills.
  • Capacity to analyze data from diverse sources.
  • Solid math skills.
  • Developing skills in investigation, negotiation, and settlement.
  • Problem-solving and decision-making capabilities.
  • Mentoring abilities upon request.
  • Proficient computer skills (preferably within a Windows environment).
  • Effective prioritization, organizational, and time management skills.
  • Collaborative team player focused on achieving collective results.

Qualifications

  • A Bachelor's degree is preferred.
  • A minimum of six months of experience with workers’ compensation lost time claims is required.
  • Understanding of insurance finance is advantageous.
  • Ability to engage effectively with diverse groups is essential.

Career Growth Opportunities

We are dedicated to fostering a culture of continuous learning and development. You will have access to various professional growth opportunities as you advance your career within the workers’ compensation sector.

Company Culture And Values

Our organization is committed to nurturing a collaborative and inclusive work environment where every contribution is recognized, and personal growth is encouraged. We prioritize work-life balance and uphold a community that champions employee well-being.

Compensation And Benefits

  • Competitive Salary: \(66,396 - \)92,955 (commensurate with experience).
  • Comprehensive Benefits Package: Includes affordable medical, dental, and vision insurance, HSA, FSA, flexible work arrangements, and more.
  • Retirement Plans: Traditional and Roth 401(k) plans with company matching.
  • Additional Perks: Student loan repayment assistance, monthly internet allowance, free life insurance, STD & LTD coverage, annual gainshare bonus opportunities, rolling PTO policy, paid parental leave, and company volunteer initiatives.

Employment Type: Full-Time

Salary : $66,396 - $92,955

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