Claims Examiner - Workers Compensation

Comptech Associates Inc.; Alpharetta (GA); On-site; USD 52,000 - 72,000; Full time

Job summary

Comptech Associates Inc. in Alpharetta, GA is seeking a Claims Examiner for Workers’ Compensation on a 3+ month contract with potential for extension or contract-to-hire. Office-based role from 8:00 am to 5:00 pm, 40 hours weekly.

Licensed to handle GA workers' comp claims is required; Florida, SC, and NC licenses are strong plus. Duties include handling claims, evaluating losses, and ensuring compliant case management.

Qualifications

• Licesne to handle Workers' Compensation claims in GA is required or obtained after hire.
• Must meet Georgia licensing requirement with Florida/SC/NC licenses as next priority.
• Bachelor's degree or equivalent experience preferred.

Responsibilities

• Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
• Contribute to collaborative environment by teamwork, motivation, and goal attainment.
• Provide accurate and timely expense and loss assessments on Lost Time claims.
• Communicate with internal and external customers regarding account trends and claim activity.
• Demonstrate sound claim handling in investigation, coverage, loss assessment, and case management.
• Establish and execute strategies for early resolutions of assigned claims.
• Address coverage issues, potential fraud, and subrogation; complete reporting forms.
• Maintain a current diary system to monitor developments and follow-up.
• Guide and direct team members to manage and resolve claims.

Skills

Customer service

Teamwork

Time management

Analytical thinking

Verbal and written communication

Critical thinking

Multitasking

Attention to detail

Education

Bachelor's Degree or equivalent experience

Job description

Job title: Claims Examiner - Workers Compensation

Location: 11575 Great Oaks Way, Alpharetta, GA 30022 (40 hours in the office)

Duration: 3+ months (Potential for extension/ Contract to hire)

Job Hours-8:00 am-5:00 pm

Job descriptions:

License Requirements: Need to be licensed in Georgia to handle Workers' Comp claims. Florida would be the next most important license along with SC and NC

MAJOR DUTIES & RESPONSIBILITIES:

• Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others.
• Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives.
• Provide accurate and timely expense and loss assessments on Lost Time claims.
• Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity.
• Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management.
• Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims.
• Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms.
• Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.
• Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim.

**Need to be licensed in Georgia to handle work comp. Florida would be the next most important license, along with SC and NC.

MINIMUM REQUIREMENTS:

• A personal commitment to superior performance that adds value to our company.
• An ability to work effectively with a wide variety of people.
• An aptitude for evaluating, analyzing and interpreting information.
• Excellent organizational skills a must.
• The ability to multi-task along with proven time management and organizational skills.
• An ability to work well in teams.
• Demonstrated critical thinking and decision making ability.
• Excellent verbal and written communication skills.
• Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date.
• Bachelor's Degree or equivalent experience preferred.