Remote Workers' Comp Claim Specialist II

AF Group; Chicago (IL); Remote; USD 57,000 - 95,000; Full time

Job summary

AF Group in a remote US role seeks an intermediate workers' compensation claim handler who verifies coverage, determines compensability, and negotiates settlements within authority. You will assess causal relationships and support return-to-work strategies across complex claims.

The candidate should have California claims jurisdiction experience and a track record handling difficult claims; residency in CA is not required.

Qualifications

• Bachelor's degree or equivalent experience required.
• Three years of workers' compensation claims experience; California jurisdiction experience required.
• Bilingual skills preferred.

Responsibilities

• Verify workers' compensation coverage.
• Determine compensability after thorough investigation.
• Assess causal relationship to ensure correct payments.
• Facilitate return to work for injured employees.
• Establish reserves within authority based on claim exposure.
• Manage medical bills for indemnity and non-indemnity claims.

Skills

Communication skills

Analytical skills

Multitasking

Independent decision making

Customer service

Education

Bachelor's degree in related field

Certification encouraged

Tools

Company standard software

Job description

AF Group in a remote US role seeks an intermediate workers' compensation claim handler who verifies coverage, determines compensability, and negotiates settlements within authority. You will assess causal relationships and support return-to-work strategies across complex claims.

The candidate should have California claims jurisdiction experience and a track record handling difficult claims; residency in CA is not required.