Workers Compensation - Claims Specialist Job at Robert Half (Saint Louis)

Senior Leave and Workers Compensation Specialist

An exciting opportunity for a Senior Leave and Workers Compensation Specialist t...

Location

United States , Milwaukie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Must be proficient in Accounting Software Systems
Familiarity with ADP - Financial Services is required
Proficiency in using ADP HRB and ADP Workforce Now is necessary
Experience with Ceridian is essential
Must have knowledge and experience in 401k - RRSP Administration
Auditing skills are necessary for this role
Demonstrated knowledge of Benefit Functions is required
Experience in Claim Administration is essential
Must be proficient in Cobra Administration within the Food & Food Processing industry

Job Responsibility

Oversee the Family and Medical Leave Act (FMLA) administration process, from the initial leave request to the employee's return to work
Serve as a point of contact for employees and managers for issues related to leave and workers' compensation
Handle the workers' compensation process from the moment of injury until the employee's return to work
Review all leave requests and supporting medical documentation
Communicate with employees about their leave needs and ensure they are aware of any necessary documentation and notice requirements
Provide technical support for workers' compensation claims, including settlement authority up to the authorized limit
Collaborate with the Total Rewards Team and Payroll to manage the Paid Leave Oregon program
Advise supervisors and managers on leaves of absence and accommodations
Oversee the return-to-work process for employees after FMLA, OFLA, workers' compensation, or other leaves
Facilitate other leave requests, including accommodation requests under the Americans with Disabilities Act (ADA)

What we offer

Medical
Vision
Dental
Life and disability insurance
Eligibility to enroll in company 401(k) plan

Claims Specialist

We are looking for an experienced Claims Specialist to join our team in Duncan, ...

Location

United States , Duncan

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Senior Workers’ Compensation Claims Specialist

We are looking for a fully remote Senior Workers’ Compensation Claims Specialist...

Location

United States , Chicago

Salary:

25.00 - 40.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Hold a valid New York adjuster's license
Manage a complex caseload of workers’ compensation claims from inception through resolution
Ensure compliance with applicable laws and regulations
Deliver excellent customer service
Work closely with internal stakeholders, injured employees, medical providers, and legal counsel

Job Responsibility

Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases
Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability
Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines
Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments
Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives
Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed
Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status

What we offer

Medical
Vision
Dental
Life and disability insurance
Eligibility to enroll in 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 Specialist

We are looking for an experienced Claims Specialist to join our team in Los Ange...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience managing workers' compensation claims
Strong knowledge of medical management processes and workers' compensation regulations
Excellent organizational skills with the ability to track and process claim information efficiently
Effective communication skills for liaising with supervisors, employees, and insurance adjusters
Ability to work collaboratively with hospital managers and injured employees
Proficiency in computer systems for inputting and auditing claim data
Detail-oriented approach to managing deadlines and ensuring compliance
Commitment to maintaining accurate records and providing timely updates

Job Responsibility

Manage a portfolio of modified duty and lost time claims, ensuring accurate and timely updates
Coordinate the forwarding of work-related injury medical records to insurance adjusters
Input medical record data into the system and communicate initial diagnoses and work statuses to supervisors
Assist injured employees and hospital managers in implementing early return-to-work programs
Schedule follow-up medical appointments and ensure documented medical statuses are secured within 24 hours of each appointment
Relay outcomes of medical appointments to supervisors and insurance adjusters within 24 hours of receipt
Monitor lost time and modified work statuses in the system, maintaining accurate tracking
Maintain regular communication with insurance adjusters every 60 days until claims are resolved
Conduct audits of claim data and related information to ensure accuracy and compliance
Perform monthly audits on organization-related data to support operational efficiency

What we offer

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

Payroll & Benefits Specialist

The Payroll & Benefits Specialist will be responsible for providing managers and...

Location

United States , Windsor

Salary:

Not provided

Morris Group, Inc

Expiration Date

Until further notice

Requirements

Associate degree or equivalent experience
Supervisory experience
5 to 7 years Payroll Experience
Experience processing multi-state payroll preferred
Experience working with a multi-faceted HRIS platform- Kronos preferred
Outstanding customer service skills and the ability to anticipate employee and management needs
Highly adaptable with outstanding attention to detail and follow through
Ability to maintain confidentiality and exercise utmost discretion
Excellent problem solving/judgement skills
Strong interpersonal skills and ability to work independently and under pressure

Job Responsibility

Process multi-state, semi-monthly payroll-start to finish
Prepare and maintain payroll records
audits employee time files
identify errors, inconsistencies, and omissions in areas of work responsibility
Ensures the accuracy of payroll data transferred from the Kronos HRIS system to the payroll system
Ensures that employee benefit deduction amounts are accurately reflected in the payroll system both for open enrollment and on an ongoing basis
Ensures that employee 401K deferrals and loan deductions are reviewed for accuracy and accurately recorded in payroll
Assists with state registrations for withholding and SUI tax accounts, as required
Compute wage and overtime payments, special pays, benefit contributions
prepare data for entry in payroll system by resolving discrepancies

What we offer

Competitive starting salary
Market competitive comprehensive health benefits including a zero premium medical plan offering, vision, dental, and company paid life insurance
Paid Time Off, starting with 23 paid days off in your first year
10 Company Paid Holidays
401(k) retirement plan with company contribution
Tuition reimbursement
Employee appreciation events and perks
Employee Assistance Program

Fulltime

Workers Comp Claims Specialist

National Interstate is looking for a Workers Comp Claims Specialist to join thei...

Location

United States

Salary:

80000.00 - 95000.00 USD / Year

Engage Cleveland

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 9 years of experience in property and casualty claims handling
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
PREFER NJ PA MA or MO IL IA WI STATE HANDLING EXPERIENCE
Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge
Demonstrates excellent analytical, negotiation, and problem-solving skills
Maintains strong knowledge of insurance policies, coverage, and claims handling procedures
Maintains knowledge of industry laws and regulations
Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims
Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations

Job Responsibility

Manages a large inventory of complex claims to evaluate compensability/liability
Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority
May attend arbitrations, mediations, depositions, or trials
Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners
Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports
Performs other duties as assigned

What we offer

medical, dental, and vision coverage
wellness plans
parental leave
adoption assistance
tuition reimbursement
Paid Time Off and paid holidays
a 401(k) plan with company match
an employee stock purchase plan
commuter benefits

Fulltime

Workers Comp Claims Specialist

National Interstate is looking for a Workers Comp Claims Specialist to join thei...

Location

United States , Richfield

Salary:

85000.00 - 95000.00 USD / Year

Engage Cleveland

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 9 years of experience in property and casualty claims handling
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
Prefer Experience handling MO IL IA & WI
Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge
Demonstrates excellent analytical, negotiation, and problem-solving skills
Maintains strong knowledge of insurance policies, coverage, and claims handling procedures
Maintains knowledge of industry laws and regulations
Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims
Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations

Job Responsibility

Manages a large inventory of complex claims to evaluate compensability/liability
Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority
May attend arbitrations, mediations, depositions, or trials
Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners
Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports
Performs other duties as assigned

What we offer

medical, dental, and vision coverage
wellness plans
parental leave
adoption assistance
tuition reimbursement
Paid Time Off and paid holidays
a 401(k) plan with company match
an employee stock purchase plan
commuter benefits

Fulltime

Workers Compensation - Claims Specialist

Robert Half

Location:
United States , Saint Louis

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 07, 2026

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Location:United States , Saint Louis

Category:Insurance

Contract Type:Not provided

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Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:January 07, 2026

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