Remote Workers' Comp Claims Specialist

Somewhere; Philippines; Remote; PHP 846,000 - 1,762,000; Full time

Job summary

Somewhere is seeking a Workers’ Compensation Claims Specialist to support the management of claims from intake to resolution. You will communicate with clients by phone and email, coordinate with carriers and TPAs, and maintain meticulous documentation to move claims forward efficiently.

The role requires experience with workers’ compensation claims, strong English communication, and the ability to work independently in a remote setup, including collaboration with LATAM and Philippine teams.

Qualifications

• Previous experience directly handling workers’ compensation claims.
• Experience working with U.S.-based insurance companies, carriers, brokers, or TPAs preferred.
• Solid understanding of workers’ compensation claims lifecycles and administrative procedures.
• Excellent spoken and written English communication skills.
• Comfortable speaking directly with clients over phone and email.
• Strong organizational, administrative, and multi-tasking abilities.
• Detail-oriented with strong follow-through on open items.

Responsibilities

• Claims Handling: Assist with workers’ compensation claims management from initial intake through resolution.
• Client Engagement: Communicate directly with clients regarding claims updates, questions, guidance, and requirements.
• Documentation & Tracking: Gather, organize, and maintain accurate claims documentation; track open claims and follow up on outstanding action items.
• Stakeholder Coordination: Coordinate communication between clients, carriers, third-party administrators (TPAs), and internal teams.
• Issue Escalation: Monitor claims progress and proactively escalated complex issues when needed.
• Operational Support: Support additional insurance operations as needed.

Skills

English communication

Client communication

Claims handling

Organizational skills

Attention to detail

Independent work

Job description

Somewhere is seeking a Workers’ Compensation Claims Specialist to support the management of claims from intake to resolution. You will communicate with clients by phone and email, coordinate with carriers and TPAs, and maintain meticulous documentation to move claims forward efficiently.

The role requires experience with workers’ compensation claims, strong English communication, and the ability to work independently in a remote setup, including collaboration with LATAM and Philippine teams.