Remote Workers' Comp Claims Specialist

aoins; Appleton (WI); Hybrid; USD 50,000 - 82,000; Full time

Benefits offered by this job

Matched 401(k)

Pension plan

Health insurance (medical, dental, and

Vision insurance

Life insurance

Short-term disability

Long-term disability

FSA - health care

FSA - dependent care

Paid time off

Adoption assistance

Education matching

Gym reimbursement

Job summary

Auto-Owners Insurance seeks a motivated Claims Representative for its Workers’ Compensation Claims Branch. The role starts with in-person training, then offers merit-based work-from-home flexibility defined by leadership.

Responsibilities include investigating claims, reviewing medical bills, and coordinating with employers, hospitals, and attorneys to resolve claims and ensure timely payments. The candidate should have a Bachelor's degree or comparable workers' compensation experience, strong

Qualifications

• Bachelor's degree or equivalent years of direct workers' compensation claims handling experience for an insurance carrier.
• Familiarity with a broad range of medical terminology.
• Above average communication skills (written and verbal).
• Ability to organize and interpret data, multi-task, and make decisions independently.
• Ability to resolve complex issues.
• An interest in developing product knowledge through participation in approved educational programs.

Responsibilities

• Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
• Review medical bills, authorize payments and ensure payments are issued in a timely and accurate manner.
• Handle investigations by phone, mail and on-site investigations.
• Contact employers, employees, hospitals, doctors and attorneys to secure information to properly adjust the claim.
• Work toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
• Service the needs of agents, policyholders and injured workers.
• Become familiar with insurance coverage by reviewing policies, endorsements and forms.

Skills

Medical terminology

Communication skills

Data organization

Independent decisions

Complex issue resolution

Product knowledge

Education

Bachelor's degree or equivalent workers' comp claims experience

Job description

Auto-Owners Insurance seeks a motivated Claims Representative for its Workers’ Compensation Claims Branch. The role starts with in-person training, then offers merit-based work-from-home flexibility defined by leadership.

Responsibilities include investigating claims, reviewing medical bills, and coordinating with employers, hospitals, and attorneys to resolve claims and ensure timely payments. The candidate should have a Bachelor's degree or comparable workers' compensation experience, strong