Remote Workers' Comp Claims Investigator

Nationwide Mutual Insurance Company; United States; Remote; USD 70,000 - 129,000; Full time

Benefits offered by this job

Medical/dental/vision

Paid time off

401(k) with company match

Pension plan

Job summary

Nationwide Mutual Insurance Company is seeking a Claims Specialist II for Workers’ Compensation, primarily remote across the United States. The role involves investigating and managing workers’ compensation claims from multiple states, determining compensability, and communicating with injured workers and medical providers to ensure fair resolution and cost control.

You will establish reserves, leverage case management services, and coordinate with internal partners and external counsel as

Qualifications

• Three to five years of prior experience in workers’ compensation claims.
• Excellent customer service and communication skills.
• Familiarity with claims processing best practices and state workers’ compensation rules.

Responsibilities

• Investigate and handle workers’ compensation claims to determine eligibility and benefits.
• Communicate with policyholders, claimants, and providers to manage and resolve claims.
• Maintain reserves and pursue appropriate settlements within authority.

Skills

Investigation

Negotiation

Communication

Claims processing

WC knowledge

Education

Undergraduate studies in business administration

Tools

Claims systems

Job description

Nationwide Mutual Insurance Company is seeking a Claims Specialist II for Workers’ Compensation, primarily remote across the United States. The role involves investigating and managing workers’ compensation claims from multiple states, determining compensability, and communicating with injured workers and medical providers to ensure fair resolution and cost control.

You will establish reserves, leverage case management services, and coordinate with internal partners and external counsel as