Impactful Workers' Comp Claims Specialist

Heartland Security Insurance Group; Town of Texas (WI); On-site; USD 40,000 - 60,000; Full time

Job summary

Heartland Security Insurance Group seeks a Workers’ Compensation Claims Representative to manage an assigned caseload of medical-only and lost-time claims from the first report to resolution. You will evaluate liability, set reserves, and negotiate settlements while coordinating with claimants, policyholders, providers, and attorneys to ensure timely action.

You will document all interactions, maintain accurate case files, and support customers with a commitment to high-quality service and

Qualifications

• Must hold a valid Workers’ Compensation Adjuster license.
• 2-3 years of experience handling indemnity workers’ compensation claims.
• High school diploma.
• Ability to follow instructions, procedures and rules.
• Must have strong attention to detail.
• Must have good written and oral communication skills.
• Must be well organized and the ability to multi-task.
• Basic computer skills in MS Word, Excel and Outlook.
• Fast, accurate data entry.

Responsibilities

• Manage assigned caseload of workers’ compensation claims.
• Make decisions about compensability, set reserves and negotiate settlements.
• Interact with claimants, clients, medical providers and other third party representatives throughout the claims process.
• Timely initial contacts and investigation of new claims.
• Verify coverage.
• Take recorded statements as needed.
• Document files daily on every conversation and action taken.
• Identify and address subrogation issues.
• Start and stop indemnity benefits timely and accurately.
• Complete jurisdictional forms timely and accurately.
• Monitor ongoing medical treatment.
• Request second medical opinions as needed.
• Request surveillance appropriately.
• Work mail and diary on a daily basis.
• Client visits as required.
• Preparation and handling of hearings.

Skills

Attention to detail

Communication skills

Multi-tasking

Organization

Education

High school diploma

College degree in business

Tools

MS Word

Excel

Outlook

Job description

Heartland Security Insurance Group seeks a Workers’ Compensation Claims Representative to manage an assigned caseload of medical-only and lost-time claims from the first report to resolution. You will evaluate liability, set reserves, and negotiate settlements while coordinating with claimants, policyholders, providers, and attorneys to ensure timely action.

You will document all interactions, maintain accurate case files, and support customers with a commitment to high-quality service and