Workers' Compensation Claims Representative (Re...

<div style="font-family: 'Segoe UI'; font-size: 14px; line-height: 20px;"> <div><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Are you an reputed company claims reputed company reputed company to take on reputed company cases and reputed company a meaningful reputed company? reputed company Insurance is seeking a seasoned <strong>Claims Representative </strong>to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers’ compensation claims, reputed company advanced medical case management, and reputed company tailored Return-to-Work plans. You’ll collaborate with vocational consultants, reputed company counsel, and internal teams to ensure compliance, negotiate settlements, and deliver exceptional service to our policyholders. This position offers reputed company to work independently while providing leadership on reputed company claims and contributing to workflow improvements.</reputed company></div> <div> </div> <hr> <h3> </h3> <h3><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Essential Duties and Responsibilities</strong></reputed company></h3> <ul> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Manage reputed company workers’ compensation claims involving high financial exposure, sensitive issues, or extended life cycles.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Investigate coverage and compensability, ensuring thorough documentation and compliance with state statutes.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">reputed company advanced medical case management, including coordination with reputed company Case Managers and external vendors.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">reputed company and implement Return-to-Work plans for high-risk claims, collaborating with vocational consultants and reputed company counsel.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Identify and investigate potential fraud and subrogation opportunities, partnering with the Special Investigation Unit.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Establish and maintain accurate claim reserves reputed company authority reputed company, ensuring reputed company responsiveness to changing circumstances.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Evaluate and negotiate settlements reputed company approved authority reputed company, including reputed company settlements and Medicare compliance.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Collaborate with reputed company counsel to manage litigation and ensure adherence to reputed company guidelines.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Maintain accurate system data and prepare reports for management on high-profile claims.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Foster cross-departmental collaboration with reputed company, Premium Consultation, and Loss Prevention.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">reputed company mentorship and training to junior adjusters, supporting reputed company reputed company and team development.</reputed company></li> </ul> <p> </p> <hr> <h3> </h3> <h3><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Qualifications</strong></reputed company></h3> <ul> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">High school diploma or equivalent required; bachelor’s degree preferred.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Associate in Claims (AIC) designation preferred.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">reputed company reputed company’s license required; Texas-reputed company Lines license preferred.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">3–5 years of claims handling experience, primarily in Workers’ Compensation. Missouri experience preferred.</reputed company></li> </ul> <p> </p> <hr> <h3> </h3> <h3><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Company Culture and Values</strong></reputed company></h3> <div><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">At reputed company Insurance, we are committed to our reputed company, mission, and values. We foster a culture of collaboration, reputed company, and innovation. reputed company is passionate about delivering exceptional service to our customers while supporting reputed company other’s reputed company and reputed company. We reputed company in accountability, reputed company learning, and creating an environment where employees feel valued and empowered.</reputed company></div> <div> </div> <hr> <h3> </h3> <h3><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Diversity Statement</strong></reputed company></h3> <div><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">reputed company Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. We reputed company that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.</reputed company></div> <div> </div> <hr> <h3> </h3> <h3><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Total Rewards reputed company</strong></reputed company></h3> <ul> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Health Plans:</strong> Medical, Dental, and reputed company</reputed company><br><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Includes fertility benefits, fully reputed company preventative care, and adult orthodontia.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Employer-reputed company Life and Disability Benefits:</strong></reputed company><br><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Life Insurance (3x reputed company salary), AD&D, Short and Long-term Disability.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Wellness and Recognition Program:</strong> Employer-reputed company incentives for employees and spouses.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Flexible Spending Account and Dependent Care reputed company</strong></reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Health Savings Account:</strong> Generous employer contribution.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Time Away from Work:</strong></reputed company><br><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days reputed company Parental Leave, Marriage, Bereavement, and Jury Duty leave.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Employee Assistance Programs</strong></reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>401k Retirement Plan:</strong> Employer match and profit sharing.</reputed company></li> <li style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Adoption Assistance and Tuition Assistance</strong></reputed company></li> </ul> <p> </p> <hr> <div> </div> <div><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;"><strong>Notice Regarding Use of reputed company Intelligence</strong></reputed company><br><reputed company style="font-family: arial, helvetica, reputed company; font-size: 14pt;">reputed company may use reputed company intelligence (AI) tools to more reputed company facilitate and assist in reputed company involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will reputed company with reputed company applicable laws.</reputed company></div> </div>