Claims Examiner (Remote)

Jobgether

1d • Remote

About The Position

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Claims Examiner (Remote). In this role, you will analyze complex workers' compensation claims to determine benefits and ensure ongoing adjudication within industry best practices. You will manage high exposure claims, negotiate settlements, and coordinate investigatory efforts, all while maintaining professional relationships with clients and claimants. Your work will have a significant impact on the resolution of claims and the overall satisfaction of clients.

Requirements

• Bachelor's degree preferred, with relevant certifications.
• Five years of claims management experience required.
• Expertise in insurance principles and law for the line of business.
• Excellent written and verbal communication skills.
• Strong analytical and organizational skills.
• Ability to work well in a team environment.

Responsibilities

• Analyze and process complex workers' compensation claims.
• Negotiate settlement of claims within designated authority.
• Manage reserves and claim payments accurately.
• Prepare state filings within statutory limits.
• Coordinate vendor referrals for investigation and litigation management.
• Communicate effectively with claimants and clients.

Benefits

• Flexible work environment.
• Comprehensive benefits package including medical, dental, and vision.
• 401k with matching contributions.
• Paid Time Off (PTO) and additional voluntary benefits.
• Opportunities for career growth in a supportive culture.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level