Job Description

Senior Workers' Compensation Claims Representative

Job Summary

Seeking a highly skilled and experienced Senior Workers' Compensation Claims Representative to join a team. This role involves managing Workers’ Compensation claims from inception to resolution, ensuring compliance with company standards and regulatory requirements. The ideal candidate will have a strong background in claims investigation, litigation management, and customer service, with a focus on delivering exceptional results. This position offers a hybrid work schedule, with three days per week in the office.

Compensation Package

• Salary: $85,000 - $100,000 per year + bonus opportunities
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

• Manage a caseload of 100-125 Workers’ Compensation claims, including litigated cases, from inception to resolution.
• Conduct thorough investigations, including obtaining statements, records, and other evidentiary materials.
• Evaluate and set accurate claim reserves to reflect potential exposure.
• Ensure compliance with regulatory and jurisdictional requirements.
• Provide clear and effective communication with customers, claimants, defense counsel, and other stakeholders.
• Oversee and manage defense counsel, independent adjusters, and other third parties involved in claims.
• Maintain detailed documentation and reporting of all claims handling activities.
• Stay updated on industry regulations and best practices.
• Perform other duties as assigned.

Qualifications/Requirements

• Minimum of 5 years of experience handling Workers’ Compensation Lost Time/Indemnity claims, including serious injury and litigated cases.
• Experience in claims investigation, administration, and litigation management.
• Knowledge of coverage, reserving principles, investigation, and negotiation techniques.
• Licensed to handle Texas Workers’ Compensation claims (additional licenses in other states, such as Mississippi, are a plus).
• Experience in the construction, forestry, logging, or oil and gas industries is a plus.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Excellent judgment, negotiation, and decision-making skills.
• Service-oriented with a commitment to providing prompt and effective customer service.
• Ability to travel as needed, including potential overnight stays.

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