Remote Senior Workers' Comp Claims Specialist

AF Group; New Berlin (WI); Remote; USD 57,000 - 95,000; Full time

Job summary

AF Group in Wisconsin is seeking an intermediate-level workers' compensation claims handler. You will verify coverage, determine compensability, assess causal relationships, and facilitate return-to-work while building appropriate reserves and coordinating with attorneys.

The role requires a Bachelor’s degree (or equivalent) and at least three years of workers' compensation experience, with bilingual skills preferred.

Qualifications

• Bachelor's degree preferred; continuous learning required.
• Certification or progress toward certification is highly preferred and encouraged.

Responsibilities

• Verifies workers' compensation coverage of employers and injured employees.
• Determines compensability under workers' compensation by thorough investigation of the claim.
• Determines causal relationship between the injury and incident to ensure proper payment of benefits.
• Facilitates return to work for the injured employee.
• Establishes timely reserves based on claim profile and authority.
• Negotiates settlements within authority at earliest possible point.
• Manages outside vendors to contain costs.
• Stays current with changes in workers' compensation statutes and case law.

Skills

Negotiation

Analytical skills

Communication

Decision making

Multitasking

Education

Bachelor's degree in a related field

Certification in progress

Job description

AF Group in Wisconsin is seeking an intermediate-level workers' compensation claims handler. You will verify coverage, determine compensability, assess causal relationships, and facilitate return-to-work while building appropriate reserves and coordinating with attorneys.

The role requires a Bachelor’s degree (or equivalent) and at least three years of workers' compensation experience, with bilingual skills preferred.