Workers Compensation Claims Examiner Job at Robert Half (Alpharetta)

Claims Examiner – Workers’ Compensation

This Workers’ Compensation Claims Examiner role requires an analytical, detail‑o...

Location

United States , Alpharetta

Salary:

30.00 - 31.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Must hold a valid adjuster's license to manage Workers Compensation claims or obtain one promptly after starting employment
A minimum of 3 years of experience handling Workers Compensation claims is required
Strong analytical skills with the ability to evaluate and interpret complex information effectively
Excellent organizational and time management skills, with the ability to handle multiple tasks simultaneously
Proven ability to work collaboratively in team settings and maintain positive working relationships
Exceptional verbal and written communication skills to convey information clearly and effectively
Bachelor's degree or equivalent detail-oriented experience is preferred
Commitment to delivering superior performance and customer satisfaction
Current Georgia Workers’ Compensation Adjuster License (required)
Additional licenses: Florida, South Carolina, North Carolina (strong plus)

Job Responsibility

Provide accurate and timely assessments of Workers’ Compensation Lost Time claims
Conduct thorough investigations, evaluate coverage, assess loss exposure, and manage cases according to established guidelines
Identify and appropriately address potential fraud, subrogation opportunities, and coverage concerns
Establish and execute effective case strategies to ensure timely and appropriate claim resolution
Deliver superior customer service to insureds, claimants, agents, underwriters, and internal partners
Communicate timely updates regarding claim activity, trends, and issue escalation
Maintain professional and effective interactions with all stakeholders
Ensure all claim files are up‑to‑date using a consistent diary system to monitor developments, follow‑ups, and required actions
Maintain accurate documentation aligned with regulatory requirements and internal quality standards
Achieve consistent compliance in investigation, coverage evaluation, loss assessment, and case management practices

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Workers’ Compensation Claim Examiner

Location

United States , New Haven

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of Workers’ Compensation Claim Examiner experience or commensurate transferable experience
Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present
Experience working in a fast‑paced, customer‑focused environment
Strong verbal, written, and telephonic communication skills
Prior roles requiring high levels of organization, follow‑up, and accountability
Proficiency with Microsoft Office products
Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting
If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses

Job Responsibility

Handle all aspects of workers’ compensation claims from inception to closure while maintaining strong customer relations
Review claim and policy information to establish investigative background
Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers
Evaluate investigation findings to determine claim compensability
Notify insureds, claimants, and attorneys of claim denials when applicable
Prepare investigative reports, settlements, denials, and evaluations of involved parties
Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim
Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed
Perform regular claim reviews and recommend corrective or remedial actions to address issues
Identify and escalate unusual or potentially adverse exposures to leadership

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Claims Examiner - Workers Compensation

We are looking for a skilled Claims Examiner specializing in Workers Compensatio...

Location

United States , Alpharetta

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Active Adjuster’s license to handle Workers Compensation claims, or the ability to obtain one immediately upon starting employment
Minimum of three years of experience in Workers Compensation claim handling
Bachelor’s degree or equivalent relevant experience preferred
Proven ability to evaluate, analyze, and interpret complex information
Strong organizational skills and ability to manage multiple tasks effectively
Excellent verbal and written communication skills
Demonstrated critical thinking and decision-making abilities
Experience working collaboratively in team environments

Job Responsibility

Manage and investigate Workers Compensation claims, ensuring compliance with established procedures and regulations
Deliver outstanding customer service to insureds, claimants, agents, and other stakeholders through clear and effective communication
Accurately assess expenses and losses related to Lost Time claims, providing timely and detailed reports
Identify and address coverage issues, potential fraud, and subrogation opportunities while adhering to company guidelines
Develop and execute effective claim strategies to achieve early resolutions and positive outcomes
Maintain organized and up-to-date files using a diary system to monitor progress and follow up on new developments
Communicate trends, issues, and claim activities to internal and external customers in a timely manner
Collaborate with team members to ensure claims are managed and resolved effectively
Provide guidance and direction to colleagues to facilitate efficient claim processing and resolution

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Claims Examiner

We are seeking a detail-oriented Claims Examiner to join a fast-paced, customer-...

Location

United States , New Haven

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of Claims Examiner experience or related transferable experience
Knowledge of workers’ compensation regulations (preferred but not required)
Excellent analytical and problem-solving skills
Strong communication (verbal and written) abilities
Ability to manage multiple priorities and meet deadlines
High attention to detail and organizational skills
Proficiency in Microsoft Office
Ability to collaborate effectively with cross-functional teams
Commitment to delivering high-quality customer service

Job Responsibility

Manage workers’ compensation claims from setup through closure
Review claim and policy information to support investigations
Conduct thorough investigations, including gathering statements from claimants, insured parties, and medical providers
Determine claim compensability based on collected facts
Communicate claim decisions, including denials, to relevant stakeholders
Prepare detailed reports on investigations, settlements, and claim evaluations
Administer statutory medical and indemnity benefits in a timely manner
Set and adjust reserves within authority limits and recommend changes as needed
Monitor claim progress and recommend corrective actions to leadership
Coordinate with attorneys on hearings and litigation

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Claims Assistant

Robert Half's client in Walnut Creek, CA is seeking a Claims Assistant for a lon...

Location

United States , Pleasant Hill

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Interest in claims, healthcare administration, or insurance operations
Comfort working with detailed records, forms, and data
Strong organization, follow-through, and attention to detail
Clear, professional communication skills
Ability to manage multiple tasks and deadlines
Willingness to learn Workers’ Compensation regulations and internal best practices
Proficiency with office software and standard office tools
Experience providing administrative support in a claims, insurance, medical, or similar office environment
Working knowledge of workers’ compensation processes, insurance claims handling, or medical claims documentation
Familiarity with medical terminology and the ability to interpret reports and supporting records accurately

Job Responsibility

Support the processing of Workers’ Compensation claims, with a focus on medical-only and indemnity claims
Keep claims moving by tracking documentation, reviewing medical reports, and ensuring accuracy and compliance
Prepare benefit payments, authorizations, and invoices
Communicate with claimants, school districts, medical providers, and partner agencies
Calculate benefits, enter and maintain claim data, and manage claim files
Schedule medical evaluations and coordinate provider follow-ups
Track employee work status and support return-to-work efforts
Assist Claims Examiners and contribute to special projects as needed

What we offer

Medical, vision, dental, and life and disability insurance
Eligibility to enroll in company 401(k) plan

Fulltime

New

Claims Assistant

We are looking for a detail-oriented Claims Assistant to support claims operatio...

Location

United States , Reno

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in claims support, administrative assistance, or a related office-based role
Hands-on knowledge of workers' compensation claims processing and benefit administration
Ability to perform accurate data entry and maintain detailed documentation in a fast-paced environment
Experience handling inbound calls and providing attentive customer support to a variety of stakeholders
Working understanding of basic medical terminology relevant to injury-related claims
Strong organizational skills with the ability to prioritize multiple tasks and follow deadlines
Clear written and verbal communication skills for interacting with internal teams and external contacts

Job Responsibility

Review claim information, assess supporting details, and help establish appropriate reserves based on injury information, expected costs, and claim circumstances
Deliver attentive service to internal teams, claimants, employers, medical providers, and other partners through consistent and timely communication
Process benefits accurately in alignment with applicable regulations and company standards, including preparation and submission of required state documentation
Coordinate medical treatment activity and track claim progress to help keep files moving efficiently toward resolution
Use available internal and external resources to support cost control efforts and reduce claim exposure where appropriate
Examine claim files for potential legal concerns, work with attorneys as needed, and support settlement evaluation within established authority levels
Maintain organized claim records through careful data entry, documentation review, and ongoing administrative support
Manage inbound calls and respond to routine inquiries related to claim status, required forms, and next steps
Conduct regular reviews of assigned files to identify updates, outstanding items, and opportunities to advance claim handling

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Claims Technician

We are looking for a detail-oriented Claims Technician to provide administrative...

Location

United States , Pleasant Hill

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of office support or clerical experience involving data entry, document handling, and work management in a fast-paced setting
High school diploma or equivalent education
Familiarity with administrative support practices, recordkeeping, and general office procedures
Ability to work accurately within online systems and business software used for claim documentation and correspondence
Strong written and verbal communication skills with the ability to interact professionally with internal teams and external parties
Working knowledge of basic math, document preparation, filing, and office equipment operation
Ability to prioritize multiple assignments, follow instructions carefully, and meet time-sensitive deadlines
Experience supporting workers’ compensation processes, medical records handling, or claims-related administrative work is preferred

Job Responsibility

Provide day-to-day administrative support for workers’ compensation files, ensuring records, forms, and documentation are maintained accurately and efficiently
Create and update correspondence and claim-related documents using claims management platforms and standard office applications
Examine, authorize, and process invoices tied to claim activity, including medical review services, nursing support, mileage reimbursements, and legal billing
Compile and send medical reports and supporting materials within required deadlines, confirming each submission is complete and accurate before release
Distribute medical records and related documentation to attorneys and other authorized parties in a timely manner
Perform data entry and file maintenance to support organized claim handling and dependable recordkeeping
Use common office equipment such as computers, copiers, and fax machines to prepare, reproduce, and assemble claim materials
Assist broader claims operations with administrative tasks, special assignments, and other support needs as directed by leadership

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

Personal Injury Protection Claims Examiner

We are looking for Personal Injury Protection (PIP) Claims Examiners in our Tamp...

Location

United States , Tampa

Salary:

47150.00 - 72775.00 USD / Year

Geico

Expiration Date

Until further notice

Requirements

Bachelor’s degree preferred
Prior insurance claims experience preferred, but not required
Personal injury, bodily injury or workers’ compensation experience preferred
Solid analytical, customer service and multi-tasking skills
Strong attention to detail, time management and decision-making skills

Job Responsibility

Investigate medical necessity and determine casualty
Consult with involved parties, secure medical information and review insurance contracts, associated reports and billing documentation
Evaluate the validity of personal injury insurance claims and monitor case files over the course of treatment

What we offer

Comprehensive Total Rewards program
401K savings plan with a 6% match
Performance and recognition-based incentives
Tuition assistance
Access to mental healthcare as well as fertility and adoption assistance
Workplace flexibility
GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year

Fulltime

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Workers Compensation Claims Examiner

Robert Half

Location:
United States , Alpharetta

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
April 02, 2026

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Our AI answers in your language

Workers Compensation Claims Examiner

Robert Half

Location:United States , Alpharetta

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:April 02, 2026

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Location:
United States , Alpharetta

Category:
Insurance

Contract Type:
Not provided

Job Posted:
April 02, 2026