Remote Workers' Comp Claims Examiner — Complex Case Expert

Vytwo; Prosper (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

Vytwo is seeking a Claims Examiner for Workers Compensation to analyze complex claims and determine benefits due. The position requires at least 5 years of claims management experience and strong skills in negotiation and communication. Responsibilities include managing claims, negotiating settlements, and ensuring ongoing adjudication. A Bachelor's degree is preferred. This is a remote position with a duration of over 3 months.

Qualifications

• Five (5) years of claims management experience or equivalent combination of education and experience required.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze complex or technically difficult workers' compensation claims.
• Negotiate settlement of claims within designated authority.
• Manage claims through well-developed action plans.

Skills

Claims management experience

Excellent oral and written communication

Negotiation skills

Analytical and interpretive skills

Organizational skills

PC literacy (Microsoft Office)

Ability to meet or exceed service expectations

Education

Bachelor's degree from an accredited college or university

Job description

Vytwo is seeking a Claims Examiner for Workers Compensation to analyze complex claims and determine benefits due. The position requires at least 5 years of claims management experience and strong skills in negotiation and communication. Responsibilities include managing claims, negotiating settlements, and ensuring ongoing adjudication. A Bachelor's degree is preferred. This is a remote position with a duration of over 3 months.