Entry-Level Workers' Comp Claims Specialist

AF - Group; Wisconsin; On-site; USD 48,000 - 81,000; Full time

Job summary

AF - Group in Wisconsin is seeking an entry level professional claim handler focused on medical and indemnity benefits. You will assess compensability, review medical relationships, and manage claim reserves within your authority.

The role involves negotiating settlements and ensuring timely, compliant resolutions. As an entry level position, you will work with experienced managers, expand knowledge of workers’ compensation statutes, and support cost containment while maintaining strong customer

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• One year of relevant experience or completion of a claims trainee program.
• Bilingual skills preferred.

Responsibilities

• Verifies workers’ compensation coverage for employers and injured employees.
• Determines compensability by thorough investigation of the claim.
• Assesses causal relationship to ensure proper payment of benefits.
• Facilitates return to work for the injured employee.
• Establishes reserves within authority based on anticipated exposure.
• Documents claim specifics and potential subrogation opportunities.
• Manages medical bills for related indemnity and non-indemnity claims.
• Negotiates settlements with attorneys or parties within authority.

Skills

Computer skills

Medical terminology

Legal terminology

Workers' comp laws

Negotiation

Communication skills

Time management

Teamwork

Education

Bachelor’s degree in related field

Job description

AF - Group in Wisconsin is seeking an entry level professional claim handler focused on medical and indemnity benefits. You will assess compensability, review medical relationships, and manage claim reserves within your authority.

The role involves negotiating settlements and ensuring timely, compliant resolutions. As an entry level position, you will work with experienced managers, expand knowledge of workers’ compensation statutes, and support cost containment while maintaining strong customer