Compensation Claims Specialist
2 weeks ago
Job Title: Compensation Claims Specialist - Lost Time Worker's Compensation
Duration: 6+ Months (Contract to Hire)
Location: Dallas, TX
Number of Positions: 1
Job Schedule - Hybrid 3/2 - In office Monday/Tuesday, work can select 3rd day in office
Job Hours - 8:00am - 4:30pm CST
Interview process - Virtual interview
Overview:
A Compensation Claims Specialist is responsible for investigating, analyzing, and determining the nature and extent of workplace injuries to apply specific statutory benefits in accordance with various jurisdictional regulations.
Key Responsibilities:
- Evaluate initial reports of injury and assess the compensability of workplace incidents, oversee treatment recommendations, promptly engage with insured parties and injured employees, conduct thorough and timely investigations, and assess appropriate exposures for reserves.
- Maintain an active diary; monitor diary to ensure timely development of files and prompt resolution of claims.
- Identify and pursue recovery opportunities where applicable; comply with all statutory regulations and unfair claims practices.
- Communicate effectively with all internal and external stakeholders.
- Possess knowledge of insurance policies, investigative methodologies, legal requirements, and regulations.
- Ability to collaborate with a diverse range of individuals.
- Establish and nurture strong business relationships with both internal and external stakeholders.
- Demonstrate excellent written and verbal communication skills.
- Exhibit a customer service orientation; possess strong analytical and negotiation capabilities.
Qualifications:
- High school diploma or Bachelor's degree.
- Must work from the designated office a minimum of 3 days per week.
- A high-performing contract adjuster may be eligible to apply for a full-time position.
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