This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
We are looking for an experienced Claims Specialist to join our team in Duncan, South Carolina. In this role, you will manage and oversee the full lifecycle of worker's compensation claims, ensuring efficient processing and resolution. This position requires expertise in claims management, risk reduction strategies, and effective communication with claimants and stakeholders.
Job Responsibility:
Handle a high volume of worker's compensation claims from initiation to final resolution, ensuring compliance with applicable regulations
Conduct thorough investigations and audits to assess claims and mitigate risks
Collaborate with employees, insurers, and claimants to resolve claims efficiently and effectively
Provide expert guidance on risk management strategies to help clients minimize future liabilities
Analyze claims data to identify trends and recommend improvements to reduce overall risk exposure
Facilitate the claims adjudication process, ensuring timely and accurate processing
Assist in preparing reports and documentation for audits and compliance purposes
Serve as a key point of contact for claimants, addressing inquiries and providing support throughout the claims process
Work closely with internal teams to ensure seamless communication and resolution of claims
Requirements:
Minimum of 3 years of experience in claims management, including worker's compensation claims
Strong knowledge of compensation and benefits, including FMLA and worker's compensation laws
Proficiency in claim administration and adjudication processes
Demonstrated experience in insurance claims handling and risk management
Excellent analytical skills to evaluate claims and identify risk mitigation opportunities
Effective communication and interpersonal skills to liaise with claimants, clients, and insurance providers
Ability to work independently and manage multiple claims simultaneously
Strong organizational skills with a focus on attention to detail