Remote Workers' Comp Claims Specialist II

AF Group; Richmond (VA); Remote; USD 57,000 - 95,000; Full time

Job summary

AF Group seeks an intermediate level claim handler to manage workers' compensation claims with discretion on compensability and reserves. This remote US position requires California jurisdiction experience and readiness to handle complex files with proactive settlements.

You will partner with attorneys, manage medical bills, and ensure timely resolutions while complying with state laws. The role emphasizes independent judgment, relationship management, and continuous learning to stay current

Qualifications

• Bachelor's degree or equivalent in a related field.
• Experience in workers' compensation claims handling preferred.
• Continuous learning and certification encouraged.

Responsibilities

• Verifies workers' compensation coverage for employers and injured employees.
• Determines compensability through thorough claim investigation.
• Assesses causal relationship between injury and incident for payment of benefits.
• Facilitates return to work for the injured employee.
• Establishes reserves within authority based on claim exposure.
• Manages medical bills for related indemnity and non-indemnity claims.

Skills

Negotiation

Analytical thinking

Multi-tasking

Independent work

Education

Bachelor's degree in related field

Job description

AF Group seeks an intermediate level claim handler to manage workers' compensation claims with discretion on compensability and reserves. This remote US position requires California jurisdiction experience and readiness to handle complex files with proactive settlements.

You will partner with attorneys, manage medical bills, and ensure timely resolutions while complying with state laws. The role emphasizes independent judgment, relationship management, and continuous learning to stay current