Workers Comp Claims Specialist, 100% Remote

EmployBridge; Dunwoody (GA); Remote; USD 50,000 - 55,000; Full time

Benefits offered by this job

Medical, Dental & Vision

8 Paid Holidays

2 Floating Holidays

Paid Time Off

401(k)

Wellness Program

Parental Leave

Job summary

EmployBridge, the United States' largest light industrial staffing company, seeks a Workers' Compensation Claims Specialist for a 100% remote role. You will support risk management by optimizing cost of risk, handling complex claims, and coordinating with TPAs and attorneys to ensure timely resolutions.

You will manage multi-jurisdictional claims, establish reserves, drive closures, and document developments in RMIS. Strong communication and analytical skills are essential.

Qualifications

• High school diploma or GED required; associate or bachelor’s preferred.
• Experience in risk management, insurance, or staffing is a plus.
• Bilingual in English and Spanish preferred.

Responsibilities

• Supports efforts to simplify and enhance the customer experience.
• Manages a portfolio of multi-jurisdictional workers' compensation claims.
• Develops claim strategies based on injury type, jurisdiction and claimant profile.
• Maintains documentation in RMIS and coordinates with TPAs and attorneys.
• Assists in wage verification, wage statement requests, and claim reporting.

Skills

Strong communication

Analytical skills

Problem solving

Time management

Customer service mindset

Bilingual English/Spanish

Education

High school diploma or GED

Associate's or Bachelor's degree preferred

Tools

MS Word

Excel

Outlook

Job description

Join us on this exciting journey to transform the staffing industry!

Workers Compensation Claims Specialist, 100% Remote

As the United States' largest light industrial staffing company and the first workforce-as-a-service provider, our digital-first approach to staffing is rooted in a rich history of delivering high-quality, scalable workforce solutions to the organizations driving the American supply chain. Our colleagues are guided by our purpose of Championing People, Unlocking Potential and bring this to life every day as they help put hundreds of thousands of people to work at tens of thousands of companies across the country. The foundation of our culture is built upon a bridge to better, offering our colleagues rewarding and growth-oriented experiences that positively impact lives and businesses in innovative and meaningful ways.

Job Summary

The Workers' Compensation Claims Specialist plays a key role in supporting Risk Management's objective of optimizing the organization's cost of risk by managing complex workers' compensation claims. This role requires a deep understanding of claims processes, strong communication skills, and the ability to coordinate with internal and external stakeholders to ensure timely and effective resolution.

Your Role & Responsibilities

• Actively and consistently supports all efforts to simplify and enhance the customer experience.
• Demonstrates a strong customer service focus by building sustainable relationships with internal and external stakeholders through proactive and interactive communication.
• Maintains composure and handles difficult situations diplomatically and professionally.
• Manages a portfolio of legacy, multi-jurisdictional workers' compensation claims with a focus on timely and cost-effective resolution.
• Proactively develops claim strategies based on factors such as injury type, jurisdiction, body part, and claimant profile in alignment with Employbridge standards and best practices.
• Ensures accurate and timely establishment of claim reserves to support stable actuarial studies.
• Drives claim closures to minimize financial exposure and improve claim outcomes.
• Maintains thorough and timely documentation in the internal RMIS system, capturing medical, legal, and claim developments to ensure accountability with third-party administrators (TPAs).
• Participates in scheduled claim reviews with TPAs to maintain alignment on reserves, action plans, and resolution strategies with adjusters, nurse case managers, and attorneys.
• Assists team members with wage verification and wage statement requests.
• Prepares and sends necessary notifications to branch managers following resignation or release check requests.
• Assists in resolving claims reported with an unknown location to ensure accurate reporting and processing.
• Manages electronic mail distribution for the Risk Services department to ensure timely routing of information and requests.

Preferred Education & Experience

• High school diploma or GED required; Associate's or Bachelor's degree preferred.
• Experience in risk management, insurance, or a related field strongly preferred.
• Staffing industry experience preferred.
• Bilingual in English and Spanish preferred.

Competencies (Skills & Knowledge You'll Bring)

• Proficient in MS Word, Excel, Outlook, and eager to learn new systems and platforms.
• Strong analytical and problem-solving skills; able to evaluate multiple options and select appropriate actions.
• Adaptable and quick to learn new concepts in a fast-paced, changing environment.
• Excellent verbal and written communication; able to tailor communication style to various audiences.
• Demonstrates integrity and ethical behavior in all interactions.
• Sound judgment and decision-making skills, balancing risks and priorities effectively.
• Results-driven with strong organizational and time-management capabilities.

Join our Team!

• High EQ/High IQ team
• Comprehensive Medical, Dental & Vision benefits starting on the first of the month following hire date
• 8 Paid Holidays per year
• 2 Floating Holidays per year
• Paid Time Off
• 401(k)
• Wellness Program
• Parental Leave

The anticipated annual base salary for this position in the US is $50,000 - $55,000 This range does not include any other compensation components or other benefits that an individual may be eligible for. The actual base salary offered depends on a variety of factors, which may include as applicable, the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

EmployBridge offers a competitive benefits package which includes Medical/Dental/Vision, prescription drug benefits, 401(k), paid time off and holidays, a wellness program, and incentive programs. We also offer a variety of career paths and encourage promotion from within.

Employbridge is an Equal Opportunity Employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, military or veteran status, genetic information, or any other characteristic protected by federal, state or local laws.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.