Entry-Level Workers' Comp Claims Specialist

Blue Cross Blue Shield of Michigan; Lansing (MI); On-site; USD 48,200 - 80,750; Full time

Job summary

AF Group in the United States is seeking an entry level professional claims handler focused on workers’ compensation. This role handles medical and indemnity benefits and exercises discretion in determining compensability, reserves, and settlements within authority.

With a Bachelor’s degree and at least one year of relevant experience (bilingual a plus), you will verify coverage, investigate claims, manage medical bills, coordinate return‑to‑work, and document subrogation potential while

Qualifications

• Effective oral and written communication
• Strong customer service
• Ability to negotiate, build consensus and resolve conflict
• Knowledge of claims processes and relevant regulations

Responsibilities

• Verify workers’ compensation coverage for employers and injured employees
• Determine compensability through thorough investigation of claims
• Manage medical bills for indemnity and non‑indemnity claims
• Negotiate settlements within authority and coordinate with attorneys or injured parties
• Facilitate return to work and establish appropriate reserves

Skills

Communication

Customer service

Negotiation

Analytical skills

Education

Bachelor’s degree

Job description

AF Group in the United States is seeking an entry level professional claims handler focused on workers’ compensation. This role handles medical and indemnity benefits and exercises discretion in determining compensability, reserves, and settlements within authority.

With a Bachelor’s degree and at least one year of relevant experience (bilingual a plus), you will verify coverage, investigate claims, manage medical bills, coordinate return‑to‑work, and document subrogation potential while