Remote Lost Time Claims Specialist - WC

Encova Insurance; United States; Hybrid; USD 55,000 - 111,000; Full time

Benefits offered by this job

Health insurance

Life insurance

401(k) match

Paid time off

Holidays and floating holidays

Flexible work arrangements

Job summary

Encova Insurance is seeking a Lost Time Claims Specialist for its Workers’ Compensation team. The role focuses on investigating, evaluating, and determining compensability for work-related injuries and diseases.

You will collaborate with medical staff, legal teams, and employers to achieve favorable, compliant outcomes. The position requires a bachelor’s degree (or equivalent experience), strong communication, analytical skills, and the ability to work independently or as part of a team.

Qualifications

• Bachelor’s degree preferred.
• Three years of workers’ compensation claims experience required.
• Strong written and verbal communication skills.

Responsibilities

• Evaluate plans to manage medical and indemnity benefits to cost-effective conclusions.
• Decide claim outcomes using policy, procedures, and guidelines.
• Gather facts via interviews and consider all elements before ruling.
• Negotiate settlements to achieve best outcomes.
• Collaborate with directors, return-to-work specialists, and medical professionals.

Skills

Communication skills

Analytical skills

Multitasking

Teamwork

Claims software

Education

Bachelor’s Degree

Tools

Claims management systems

MS Office

Job description

Encova Insurance is seeking a Lost Time Claims Specialist for its Workers’ Compensation team. The role focuses on investigating, evaluating, and determining compensability for work-related injuries and diseases.

You will collaborate with medical staff, legal teams, and employers to achieve favorable, compliant outcomes. The position requires a bachelor’s degree (or equivalent experience), strong communication, analytical skills, and the ability to work independently or as part of a team.