Workers Compensation Claims Specialist

Payday | Human Resource Solutions; Pensacola (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

Payday | Human Resource Solutions in Pensacola, FL is seeking a Workers Compensation Claims Specialist to manage claims from initial report to resolution.

This on-site role requires coordinating with employees, employers, and insurance carriers, maintaining accurate claim records, and ensuring regulatory compliance.

You will work with internal HR and payroll teams to ensure timely claim handling and provide guidance on workers’ comp processes.

Qualifications

• Experience in evaluating and resolving workers' compensation claims.
• Knowledge of insurance and workers' compensation regulations.
• Experience with employee benefits related to workplace injuries.
• Strong customer service skills and clear communication.
• Experience in workers' compensation, risk management, or HR support.
• Excellent organization and ability to manage multiple claims and deadlines.
• Proficiency with office software and claim management systems.
• High school diploma or equivalent; certifications in insurance, HR, or risk management are beneficial.

Responsibilities

• Manage workers' compensation claims from report through resolution.
• Gather incident details and coordinate with employees, employers, and insurers.
• Review documentation, verify coverage, monitor status, ensure compliance.
• Respond to inquiries and guide clients on workers' compensation processes.
• Support administration of related employee benefits.
• Collaborate with HR and payroll to ensure timely claim handling and reporting.

Skills

Claims handling

Claims management

Insurance regulations

Workers' comp

Employee benefits

Customer service

HR support

Organization

Office software

Claim systems

Education

High school diploma or equivalent

Insurance or HR certifications

Tools

Microsoft Office

Job description

Company Description

Payday | Human Resource Solutions is a full-service HR outsourcing platform dedicated to reducing the complexities of managing and growing businesses. The organization focuses on delivering high-performance client care by living core convictions of integrity, service, and impact. Payday partners with employers to streamline HR processes and provide reliable support across key workforce functions. Team members join a collaborative, client-focused environment that values accountability, professionalism, and meaningful results for clients.

Role Description

The Workers Compensation Claims Specialist is a full-time, on-site role based in Pensacola, FL. This role is responsible for managing workers compensation claims from initial report through resolution, including gathering incident details, coordinating with employees, employers, and insurance carriers, and maintaining accurate claim records. Daily tasks include reviewing claim documentation, verifying coverage, monitoring claim status, and ensuring compliance with relevant regulations and company policies. The specialist responds to inquiries, provides guidance to clients on workers compensation processes, and supports the administration of related employee benefits. The role also involves collaborating with internal HR and payroll teams to ensure timely and accurate claim handling and reporting.

Qualifications

• Candidates should possess skills in Claims Handling and Claims Management, including evaluating claims, tracking progress, and facilitating resolutions.
• Candidates should possess knowledge of Insurance and Workers Compensation regulations, with the ability to interpret policy terms and requirements.
• Candidates should possess experience with Employee Benefits related to workplace injuries, including coordination of leave and return-to-work processes.
• Candidates should possess strong Customer Service skills, with the ability to communicate clearly, handle sensitive situations, and support diverse stakeholders.
• Relevant experience in workers compensation, risk management, or HR support in a business or insurance environment.
• Strong organizational skills, attention to detail, and ability to manage multiple claims and deadlines.
• Proficiency with office software and claim management systems; ability to learn new platforms quickly.
• High school diploma or equivalent required; additional education or certifications in insurance, HR, or risk management are beneficial.