Regional Workers' Comp Claims Specialist

Selective Insurance; Charlotte (NC); Vor Ort; USD 60.000 - 78.000; Vollzeit

Benefits dieser Stelle

Competitive base salary

Incentive plan eligibility

Comprehensive benefits

20 days paid time off

Tuition assistance

Zusammenfassung

Selective Insurance in Charlotte, NC is seeking a Workers' Comp Claim Rep to handle claims for the Heartland Region (IA, IN, IL, KS, MI, MN, MO, WI). You will investigate claims to determine coverage and compensability, obtain information, and collaborate with nurses and vendors to return injured workers to work.

The role requires knowledge of workers' compensation statutes, strong communication, and attention to regulatory requirements.

Qualifikationen

• Knowledge of workers' compensation statutes, coverage, and case law.
• Excellent written and verbal communication skills.
• Understanding of medical terminology related to WC claims.
• Ability to assess compensability with facts and law.

Aufgaben

• Investigate lost time claims to determine coverage and compensability.
• Process claims, set reserves, and manage payments through resolution.
• Collaborate with nurses and vendors on medical and disability management.
• File state forms timely and ensure regulatory compliance.
• Prepare for claim reviews and settlements as needed.

Kenntnisse

Workers' compensation knowledge

Communication skills

Regulatory understanding

Critical thinking

Ausbildung

College degree preferred.

1-3 years claims experience preferred.

Jobbeschreibung

Selective Insurance in Charlotte, NC is seeking a Workers' Comp Claim Rep to handle claims for the Heartland Region (IA, IN, IL, KS, MI, MN, MO, WI). You will investigate claims to determine coverage and compensability, obtain information, and collaborate with nurses and vendors to return injured workers to work.

The role requires knowledge of workers' compensation statutes, strong communication, and attention to regulatory requirements.