Associate Claims Representative (Workers' Compensation)

Louisiana Workers Compensation Corporation•Baton Rouge, LA

About The Position

Overview Integral part of helping Louisiana thrive through efficient and consistent handling of injured workers claims. Investigating assigned claims through completion. Provides unparalleled customer experience for all our stakeholders. Major Areas of Accountability General Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents. Is responsible for the well-being of hundreds of Louisiana employees who are injured. Examine claims forms and other records to determine insurance coverage. Interview or correspond with our policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation. Investigate facts of loss to determine extent of injury. Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim. Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies. Negotiate claim settlement opportunities. Confer with legal counsel on claims involving litigation. Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals. Seeks opportunities for improvement and continued learning Maintains required LA Workers’ Compensation Adjuster License. Performs other job duties as needed by the department Personality/Working Style Strong character Alignment with company values, mission, and vision Trustworthy and honest Decisive Curious and persistent Passion for innovation Willingness to learn Adaptive to changing (tolerance for ambiguity) Desire to collaborate to achieve corporate goals Strong communicator Effective communication skills Empathetic listener and open-minded Commitment to accountability

Requirements

Bachelor’s degree and some work experience, preferably in the insurance industry OR H.S. Diploma/GED with 4 years of experience as an insurance claims adjuster
Active Louisiana Workers' Compensation Adjuster License required prior to start or obtained within seven (7) business days after start date.
Strong character
Alignment with company values, mission, and vision
Trustworthy and honest
Decisive
Curious and persistent
Passion for innovation
Willingness to learn
Adaptive to changing (tolerance for ambiguity)
Desire to collaborate to achieve corporate goals
Effective communication skills
Empathetic listener and open-minded
Commitment to accountability

Responsibilities

Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents.
Is responsible for the well-being of hundreds of Louisiana employees who are injured.
Examine claims forms and other records to determine insurance coverage.
Interview or correspond with our policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation.
Investigate facts of loss to determine extent of injury.
Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim.
Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies.
Negotiate claim settlement opportunities.
Confer with legal counsel on claims involving litigation.
Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals.
Seeks opportunities for improvement and continued learning
Maintains required LA Workers’ Compensation Adjuster License.
Performs other job duties as needed by the department