Workers' Compensation Claims Specialist

Cape Fear Valley Health; Fayetteville (NC); On-site; USD 60,000 - 90,000; Full time

Job summary

Cape Fear Valley Health in Fayetteville, NC, is seeking a Workers' Compensation Adjuster to join our Risk Management team. The role requires strong communication and analytical skills and involves handling confidential workers' compensation information.

Responsibilities include investigating injuries, managing claims, reviewing medical bills, preparing forms, and ensuring compliance with NC statutes and OSHA standards.

Qualifications

• Proficiency in reading, writing, and speaking English.
• Knowledge of North Carolina workers' compensation law.
• Experience in claims administration and documentation.
• Ability to handle confidential information professionally.

Responsibilities

• Investigate and analyze data to determine compensability per NC law.
• Manage a caseload of workers' compensation claims timely.
• Attend mediations and hearings as required.
• Establish claim reserves and review medical and legal bills.
• Maintain diary entries and ensure regulatory compliance.

Skills

English proficiency

Communication

Data analysis

Independent work

Education

Associate degree in business or related field

Bachelor’s degree preferred

Tools

iVOS

Microsoft Office

Job description

Cape Fear Valley Health in Fayetteville, NC, is seeking a Workers' Compensation Adjuster to join our Risk Management team. The role requires strong communication and analytical skills and involves handling confidential workers' compensation information.

Responsibilities include investigating injuries, managing claims, reviewing medical bills, preparing forms, and ensuring compliance with NC statutes and OSHA standards.