Senior Workers’ Comp Claims Examiner — Hybrid (Richmond)

Seneca Resources Company, LLC; Virginia (MN); Hybrid; USD 48,216 - 61,992; Full time

Benefits offered by this job

Competitive pay

Comprehensive health coverage

401(k) retirement plans

Support from a dedicated team

Job summary

A leading staffing and consulting firm is seeking an experienced Senior Claims Examiner to manage complex Workers’ Compensation claims within a dynamic healthcare environment. This role is crucial in ensuring timely claims resolution while collaborating with various stakeholders. Ideal candidates will have a minimum of 7 years of experience in Workers’ Compensation, strong negotiation and investigation skills, and the ability to handle high-complexity claims. This position is hybrid, requiring onsite presence 1-2 days a week.

Qualifications

• Minimum 7 years of Workers’ Compensation claims experience.
• In-depth knowledge of Virginia Workers’ Compensation laws.
• Ability to manage high-complexity claims independently.
• Experience with medical management and return-to-work coordination.

Responsibilities

• Manage Workers’ Compensation claims from low to high complexity.
• Ensure compliance with the Virginia Workers’ Compensation Act.
• Negotiate settlements and manage subrogation efforts.
• Coordinate with medical providers to support return-to-work programs.

Skills

Workers’ Compensation claims adjudication

Negotiation skills

Analytical skills

Investigation skills

Communication skills

Medical management

Proficiency in Microsoft Office

Education

High School Diploma or GED

Associate’s or Bachelor’s degree in Business or Finance

Job description

A leading staffing and consulting firm is seeking an experienced Senior Claims Examiner to manage complex Workers’ Compensation claims within a dynamic healthcare environment. This role is crucial in ensuring timely claims resolution while collaborating with various stakeholders. Ideal candidates will have a minimum of 7 years of experience in Workers’ Compensation, strong negotiation and investigation skills, and the ability to handle high-complexity claims. This position is hybrid, requiring onsite presence 1-2 days a week.