Senior Workers' Compensation Claims Examiner

3 weeks ago


Redford, Michigan, United States King's Insurance Staffing Full time

King's Insurance Staffing is seeking a highly skilled Senior Workers' Compensation Claims Examiner to join our team in Michigan. As a Senior Workers' Compensation Claims Examiner, you will be responsible for handling moderate to complex Workers Compensation Lost Time claims throughout the state of Michigan from inception to close.

Key Responsibilities:

  • Investigate and evaluate claims to determine validity and extent of liability.
  • Properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others; coordinate medical treatment for injured workers.
  • Determine if claims are valid under applicable workers' compensation statutes.
  • Review and evaluate documentation, including applications, reports, and statements.
  • Communicate with medical providers to develop and authorize treatment plans.
  • Ensure legal, regulatory, and fair claims handling compliance.
  • Set or recommend reserves based on results of claim investigation.

Requirements:

  • 3 - 7+ years of Workers' Compensation Lost Time claims handling experience.
  • Must be well-versed in Michigan Workers Compensation Law.
  • Active MI Adjusters license.
  • Excellent Customer Service and Organizational skills.
  • High School Diploma; Bachelor's Degree preferred but not required.

Benefits:

  • $80,000 to $95,000 annual base salary.
  • Flexible work schedule.
  • Competitive Medical, Dental, Vision and Life plans.
  • Employer matching 401(k) plan.


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