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The Workers Compensation Claims Examiner will be responsible for managing lost time claims, ensuring compliance, and delivering excellent customer service. This Workers Compensation Claims Examiner role requires strong analytical skills, attention to detail, and the ability to work collaboratively in a fast-paced environment.
Job Responsibility:
Deliver superior customer service through effective interactions with insureds, claimants, agents, underwriters, and others
Collaborate with team members to achieve goals and maintain a high-performance environment
Provide accurate and timely expense and loss assessments on lost time claims
Communicate effectively with internal and external stakeholders regarding claim activity, trends, and issues
Conduct thorough investigations, coverage analysis, loss assessments, and case management
Develop and execute strategies to achieve early claim resolution
Identify and address coverage issues, potential fraud, and subrogation opportunities
Maintain organized and up-to-date claim files using a diary system
Monitor claim developments and follow up on outstanding items in a timely manner
Provide guidance and direction to team members when needed
Requirements:
Active Adjuster’s License for Workers Compensation in Georgia (required)
Minimum of 3 years of Workers Compensation claims handling experience
Strong analytical, organizational, and time management skills
Ability to multitask and prioritize effectively
Excellent verbal and written communication skills
Proven critical thinking and decision-making abilities
Ability to work collaboratively with diverse teams
Nice to have:
Additional licenses in Florida, South Carolina, and North Carolina (preferred)
Bachelor’s Degree or equivalent experience
Demonstrated commitment to high performance and continuous improvement
Experience handling lost time claims
What we offer:
medical, vision, dental, and life and disability insurance