Bilingual Workers' Comp Claims Navigator

SWBC; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Work-life balance

Engagement programs

Years of service awards

Career growth

Leadership Academy

Continuing education

Healthcare coverage

401(k) plans

Wellness program

Job summary

SWBC is seeking a dedicated professional to manage workers' compensation claims from injury reporting through closure. You will collaborate with clients, injured employees, carriers, adjusters, HR, and payroll to ensure efficient claim handling and strong customer service.

You will educate stakeholders on procedures, support return-to-work programs, monitor progress, and maintain accurate records while upholding compliance and safety standards.

Qualifications

• Bachelor's degree in Human Resources, Risk Management and Insurance, or related field preferred.
• Minimum of four (4) years of experience in claims management or related field.
• Working knowledge of workers' compensation claims processes, return-to-work programs, and claim resolution practices.
• Knowledge of OSHA regulations, workplace safety practices, and accident prevention programs preferred.
• Bilingual (Spanish) language ability is required.
• Strong organizational skills with the ability to manage multiple priorities, meet deadlines, and maintain attention to detail.
• Ability to analyze information, solve problems, and exercise sound judgment.
• Able to communicate in writing clearly and concisely.
• Strong customer service and relationship management skills with the ability to effectively interact with clients, injured employees, carriers, and internal stakeholders.

Responsibilities

• Coordinates and manages workers' compensation claims from initial injury reporting through resolution and closure.
• Serves as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders.
• Educates clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and their responsibilities throughout the claims process.
• Provides exceptional customer service and guidance while ensuring all parties understand required protocols, next steps, and claim-related obligations.
• Coordinates claim documentation, wage reporting, claim-related communications, and return-to-work activities to support positive claim outcomes.
• Monitors claim progress and collaborates with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution.
• Reviews claim status with carriers and adjusters, participates in client claim reviews, and assists with the collection and analysis of claims history, loss trends, and risk-related information.
• Maintains accurate claim records, documentation, and reporting.
• Maintain necessary certifications.
• Performs all other duties as assigned.

Skills

Bilingual Spanish

Strong organizational skills

Communication

Problem solving

Attention to detail

Customer service

Education

Bachelor's degree in Human Resources, Risk Management and Insurance, related field

Job description

SWBC is seeking a dedicated professional to manage workers' compensation claims from injury reporting through closure. You will collaborate with clients, injured employees, carriers, adjusters, HR, and payroll to ensure efficient claim handling and strong customer service.

You will educate stakeholders on procedures, support return-to-work programs, monitor progress, and maintain accurate records while upholding compliance and safety standards.