Claims Management Specialist

Specialist

Claims Management Specialist

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  • Date posted
    September 22, 2026
  • Expiration date
    December 22, 2026
  • Application ends
    December 22, 2026

We are seeking an experienced professional to manage workers’ compensation claims from initial injury reporting through claim closure. This role serves as a key point of contact for employees, insurance carriers, medical providers, HR, payroll, and other stakeholders to ensure timely claim resolution, compliance, and exceptional customer service. This role offers the opportunity to make a meaningful impact by supporting employees, managing risk, and delivering outstanding service throughout the claims process.

Key Responsibilities:

  • Manage workers’ compensation claims throughout the entire claim lifecycle
  • Serve as the primary liaison between employees, employers, insurance carriers, adjusters, and medical providers
  • Educate employees and stakeholders on claims processes, reporting requirements, return-to-work programs, and available resources
  • Coordinate documentation, wage reporting, claim communications, and return-to-work activities
  • Monitor claim progress and collaborate with carriers, adjusters, and providers to facilitate favorable outcomes
  • Participate in claim reviews and assist with analyzing claim trends and loss history
  • Maintain accurate claim records and reporting
  • Support compliance with workers’ compensation regulations and company policies
Requirements
  • Bachelor’s degree in Human Resources, Risk Management, Insurance, or a related field preferred
  • 4+ years of workers’ compensation claims management or related experience
  • Strong knowledge of workers’ compensation processes, claim resolution, and return-to-work programs
  • Knowledge of OSHA regulations and workplace safety practices preferred
  • Bilingual Spanish required
  • Excellent communication, organizational, problem-solving, and customer service skills
  • Ability to manage multiple priorities while maintaining attention to detail
  • Are you interested in this position?

     

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