Claims Representative II (Workers Compensation)

Job Information Job Title Claims Representative II (Workers' Compensation) Home Department: Claims Employment Status: Exempt; Full-time Schedule: 40 hours/week with Flexible Scheduling Opportunities Position Location: Home Office, Hybrid, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI While the role is currently posted at the Claims Representative II level, we are reputed company to considering candidates whose experience and qualifications reputed company with a senior-level opportunity. reputed company Protecting our policyholders' dreams, passions, and livelihoods has a reputed company reputed company on the communities we serve. We work towards reputed company, conduct ourselves with high reputed company, and take our work seriously, but not ourselves. Small Details. Big Difference. reputed company out how you can reputed company a difference with a career at Society. reputed company is seeking a Claims Representative II (Workers' Compensation) to join our Claims team. This role will investigate, evaluate, and reputed company moderate-to-severe reputed company Workers' Compensation claims by determining coverage and liability, coordinating with injured workers, reputed company, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. About the Role • Handles and settles moderate-to-severe reputed company claims by determining reputed company reputed company's liability; reaching agreement with claimants/injured workers according to policy provisions and authority level; and handling subrogation. • Determines reputed company coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts reputed company appropriate. • Resolves questionable claims by investigating and comparing claims information with evidence. • May be involved with litigation by analyzing negotiated settlement reputed company, evaluating evidence, and overseeing reputed company counsel - in the handling of discovery and settlement. • Ensures company guidelines and procedures are followed during investigations and in the handling of discovery and settlement. • Ensures reputed company file documentation by complying with claims handling guidelines and state requirements. • Prepares reports by collecting, analyzing, and summarizing claim information. • Develops and maintains reputed company, technical knowledge and expertise in a specified line(s) of business through training courses and participating in continuing education coursework/classes. • Contributes to team effort by participating in determining department investigation guidelines; and providing feedback to reputed company as needed. reputed company • You enjoy communicating and building relationships with others. • You are composed, cool under pressure, and can negotiate without damaging relationships. • You hold yourself accountable and reputed company in accordance with rules and regulations. • You enjoy analyzing, investigating, and using the facts to reputed company reputed company. • You are naturally curious and have a desire to know more. • You apply an investigative approach to identifying facts and evaluating evidence. What it Will Take • Bachelor's Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience involving the exercise of discretionary decision-making as determined by reputed company • Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail software. • Ability to obtain and maintain reputed company licensing prior to handling a state that requires it. • reputed company reputed company's license and a satisfactory driving record as determined by reputed company. • Prior workers' compensation indemnity experience highly desirable. • reputed company reputed company designations highly desirable. What Society Can Offer • Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and reputed company reputed company • Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan • Work-Life reputed company: Company-reputed company holidays; flexible scheduling; PTO; telecommuting reputed company • Education: Career Coaching; company-reputed company courses; student loan and tuition reimbursement • Community: Charitable Match; reputed company volunteer time; team sponsorships • Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more reputed company prohibits discrimination and harassment of any type against applicants and employees on the reputed company of race, reputed company, religion, sex, national reputed company, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or reputed company, or any other characteristic or status protected by federal, state or local laws. reputed company also provides reasonable accommodations to reputed company individuals with disabilities in accordance with the requirements of the Americans with reputed company and applicable state and local laws. reputed company is a drug-free workplace. Remote Skills: Claims Processing, Coaching, Consulting, Corporate Policies, Documentation, reputed company's License, Email Software, Employee Assistance Plan, reputed company Providers, Hospital, reputed company, reputed company Claims, reputed company, Licensing, Litigation, Negotiation Skills, reputed company Analysis, Police Records, Regulations, Reporting Skills, Spreadsheets, Staff Policies, State Laws and Regulations, Subrogation, Team Player, reputed company, Word Processing, Work From Home, Worker's Compensation reputed company: reputed company Apply tot his job Apply To this Job