Senior Workers' Comp Claims Specialist

AF Group; Richmond (VA); Remote; USD 65,000 - 109,000; Full time

Job summary

AF Group in the United States is seeking an advanced level workers’ compensation claim handler. You will investigate claims, determine compensability, establish reserves within authority, and negotiate settlements for large, complex customers.

You will mentor junior handlers, coordinate special projects, manage outside vendors, and ensure compliance with evolving workers’ compensation laws. The role requires California experience and offers office or remote work, with significant discretion and

Qualifications

• Bachelor's degree in a related field.
• Five years of workers' compensation claims experience.
• Experience handling complex claims across jurisdictions preferred.
• Certification or progress toward certification is highly preferred.
• Bilingual skills preferred.

Responsibilities

• Verifies workers' compensation coverage and determines compensability.
• Establishes timely reserves and negotiates settlements within authority.
• Mentors lower-level claim handlers and coordinates special projects.
• Manages outside vendors and ensures cost containment on complex files.
• Keeps up to date with workers' compensation laws and regulations.

Education

Bachelor's degree in a related field

Job description

AF Group in the United States is seeking an advanced level workers’ compensation claim handler. You will investigate claims, determine compensability, establish reserves within authority, and negotiate settlements for large, complex customers.

You will mentor junior handlers, coordinate special projects, manage outside vendors, and ensure compliance with evolving workers’ compensation laws. The role requires California experience and offers office or remote work, with significant discretion and