Claims Investigator & Settlement Specialist

LWCC; Baton Rouge (LA); On-site; USD 50,000 - 65,000; Full time

Job summary

LWCC is seeking an experienced Claims Adjuster to investigate and evaluate assigned Louisiana workers’ compensation claims through final disposition. The role involves determining coverage and compensability, managing reserves, and coordinating with medical providers, attorneys, and policyholders.

The candidate should have a bachelor’s degree and at least two years of claims handling experience, or a related combination of education and CPCU designation.

Qualifications

• Bachelor’s degree and a minimum of two (2) years handling claims.
• In lieu of a bachelor’s degree, a candidate with a high school diploma/GED with four (4) years handling claims may be considered.
• A high school diploma/GED, CPCU designation and two (2) years of claims handling experience may also be considered in lieu of a college degree.

Responsibilities

• Investigates assigned claims following sound claim handling techniques.
• Determines coverage, compensability, and subrogation potential on every claim.
• Establishes and adjusts reserves or provides reserve recommendations.
• Evaluates and negotiates settlements within authority.
• Manages all litigation issues arising under assigned claims.
• Performs medical case management, utilization review, and related activities.
• Maintains communication with injured workers, policyholders, and attorneys.

Skills

Computer literacy

Math

Judgement

Problem solving

Education

Bachelor’s degree

High school diploma/GED + 4 years claims handling

CPCU designation + 2 years claims handling

Job description

LWCC is seeking an experienced Claims Adjuster to investigate and evaluate assigned Louisiana workers’ compensation claims through final disposition. The role involves determining coverage and compensability, managing reserves, and coordinating with medical providers, attorneys, and policyholders.

The candidate should have a bachelor’s degree and at least two years of claims handling experience, or a related combination of education and CPCU designation.