Remote Workers' Comp Claims Specialist

biBerk Business Insurance; Fully; Vor Ort; CHF 61.000 - 73.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental plan

PTO

Paid holidays

Parental leave

401(k) with company match

Tuition assistance

Wellness program

Zusammenfassung

biBerk is seeking an experienced worker’s compensation claims adjuster for a fully remote role. You will determine compensability, manage a diverse caseload across jurisdictions, and negotiate settlements under supervision.

Gather medical evidence, coordinate investigations, and maintain contact with claimants, attorneys, investigators, and medical providers. The position emphasizes strong organization, negotiation, and communication skills, with Maryland residents especially encouraged to

Qualifikationen

• Minimum of 3 years of experience required.
• Experience handling claims in multiple jurisdictions (PA, MA, VA, ME, MD).
• Maryland residents encouraged to apply.
• Bachelor's degree preferred.
• Experience in handling lost time or litigated claims.
• Familiarity with medical terminology.
• Strong organizational, problem solving, negotiation, and conflict resolution skills.
• Excellent verbal and written communication skills.

Aufgaben

• Determine compensability and/or coverage issues for loss time workers' compensation claims.
• Effectively manage a caseload of loss time claims from numerous jurisdictions.
• Negotiate and direct settlements under management's review.
• Gather medical and factual evidence to determine compensability.
• Direct outside investigation and handle litigation files within given authority.
• Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers.

Kenntnisse

Organizational skills

Negotiation

Communication skills

Problem solving

Conflict resolution

Verbal communication

Written communication

Ausbildung

Bachelor's degree preferred

Jobbeschreibung

biBerk is seeking an experienced worker’s compensation claims adjuster for a fully remote role. You will determine compensability, manage a diverse caseload across jurisdictions, and negotiate settlements under supervision.

Gather medical evidence, coordinate investigations, and maintain contact with claimants, attorneys, investigators, and medical providers. The position emphasizes strong organization, negotiation, and communication skills, with Maryland residents especially encouraged to