Claims Examiner - Workers Compensation

Kelly; Alpharetta (GA); Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

Medical/dental/vision coverage

401(k) plan

Paid time off

Job summary

Kelly in Alpharetta, GA is seeking a Claims Examiner - Workers’ Compensation for a 3-month hybrid assignment. You will handle WC claims with Georgia licensure, perform loss assessments, and coordinate with insureds, agents, and underwriters to resolve claims efficiently.

Requirements include a GA adjuster license (FL/SC/NC also valued), 3+ years WC claim handling, and strong analytical, organizational, and communication skills. W2, $34.50/hr, 8am-5pm, potential extension.

Qualifications

• Demonstrated ability to deliver superior customer service.
• Strong teamwork and collaboration across stakeholders.
• Excellent organizational and time-management skills.

Responsibilities

• Deliver superior customer service and satisfaction through interactions with insureds, claimants, agents, underwriters, and others.
• Provide accurate and timely expense and loss assessments on Lost Time claims.
• Communicate with internal and external customers regarding account trends, issues, and claim activity.
• Demonstrate sound claim handling across investigation, coverage, loss assessment, and case management.
• Establish and execute strategies to bring early resolutions to assigned claims.
• Identify coverage issues, potential fraud, and subrogation; complete reporting forms.
• Maintain current diary notes and follow up on requests.

Skills

Customer service

Teamwork

Analytical thinking

Time management

Communication skills

Education

Bachelor's degree or equivalent

Job description

Finding a Hybrid job that fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a Claims Examiner - Workers Compensation to work at a premier client in Alpharetta, GA 30022.

Job Title

Claims Examiner - Workers Compensation

Duration

3 months (Possible extension)

Pay rate

$34.50/hr On W2

Shift

8:00AM - 5:00PM

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.

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.

Education/Experience

• 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.
• Minimum of 3 years of Workers Compensation claim handling required.

Benefits

• Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability.
• As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account.
• In addition, employees are entitled to earn paid sick leave under the applicable state or local plan.

Kelly may use AI-powered tools during the recruitment and hiring process. For full details, including how Kelly uses AI, your rights, and how to request a reasonable accommodation, visit the Recruitment Artificial Intelligence Notice.

About Kelly

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.