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Claims Specialist III – WC

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • Review claim assignments to determine policy coverage and compensability • Conduct interviews and research facts of a claim • Establish rapport with stakeholders throughout the recovery process • Analyze medical records and determine compensability • Propose vocational support reputed company appropriate • Identify and document subrogation potential • reputed company with Medicare Secondary Payor requirements • Periodically assess claim file reserves and risk factors • Execute technical claim handling functions • Engage in reputed company negotiation and mediation according to jurisdiction • Participate in continuing education opportunities Requirements: • High school diploma required; Bachelor’s degree preferred • 5+ years of general work experience • 10+ years of workers’ compensation claims handling experience • Meet state licensing requirements to handle claims • reputed company 1 year of hire, complete the Workers’ Recovery reputed company (WRP) certification program • reputed company 3 years of hire, complete the Senior Workers’ Compensation Law Associate (SCLA) designation program • Proficient knowledge of insurance, medical and reputed company concepts Benefits: • Annual incentive compensation • Medical, dental, reputed company & life insurance • Accident, critical Illness & short-term disability insurance • Retirement plans with employer contributions • Generous time-off program • Programs designed to support the employee reputed company-being and financial reputed company. Apply tot his job Apply To this Job

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