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Handles complex workers’ compensation claims by investigating compensability, confirming coverage, establishing reserves, authorizing payments, coordinating return-to-work efforts, managing subrogation and litigation, and negotiating settlements. Communicates with customers, claimants, case managers, attorneys, and carriers while maintaining regulatory compliance, documentation, recovery efforts, and action plans to control claim costs.

Manages front-office operations, reception, mail, purchasing, facilities, office equipment, access controls, office moves, meetings, and administrative activities. Supervises office administration functions, coordinates vendors and stakeholders, supports facilities maintenance, and may liaise with Human Resources. Requires strong organization, communication, multitasking, Microsoft Office proficiency, and at least two years of office management experience.

Handles complex Workers’ Compensation claims, including coverage verification, compensability investigations, reserves, payments, subrogation, litigation, settlements, recoveries, and regulatory filings. Coordinates return-to-work efforts and claim action plans with case managers and other stakeholders, communicates with customers and claimants, reports claims to excess carriers, and maintains compliance with client, carrier, and state requirements.

Supervises workers’ compensation claims staff, ensuring quality, productivity, customer service, regulatory compliance, and adherence to company procedures. Provides coaching, training, performance evaluations, and technical guidance on complex claims, investigations, litigation, and resolutions. Supports recruitment and onboarding, participates in client claim reviews, and maintains claims-related licensing or certification requirements.

Manages mid-to-complex auto and general liability claims, including bodily injury, property damage, and litigated files. Responsibilities include confirming coverage, determining compensability, investigating claims, establishing reserves, authorizing payments, communicating claim status, following client and carrier guidelines, and collaborating on complex cases.

Supervises liability claims staff, ensuring quality, productivity, customer service, regulatory compliance, and adherence to company procedures. Provides technical and jurisdictional guidance on workers’ compensation, compensability, investigations, litigation, and claim resolutions. Supports recruitment, onboarding, coaching, training, performance evaluations, and client claim reviews. Requires claims handling and supervisory experience, an active claims license or certification, workers’ compensation knowledge, and occasional overnight travel.

Manages lower-complexity workers’ compensation claims under senior supervision. Responsibilities include confirming coverage, determining claim compensability, setting reserves, authorizing payments within delegated limits, communicating claim status, following client and carrier guidelines, and supporting claims reviews and complex claims. The role is remote and requires strong communication, organization, problem-solving, and Microsoft Office proficiency.

Manages non-complex liability claims under supervision, including medical-only and minor lost-time claims. Reviews coverage, determines compensability, establishes reserves, authorizes payments within authority limits, communicates with claimants and clients, and follows carrier and client guidelines. The role handles litigated files, supports claims reviews, collaborates on complex claims, and requires an active adjuster license plus liability claims experience.

Manages lower-level, non-complex workers’ compensation indemnity claims under senior supervision. Responsibilities include verifying coverage, determining claim validity and compensability, setting reserves, authorizing payments within limits, communicating claim status, following client and carrier guidelines, and assisting with complex claims. The role requires strong communication, analytical, organizational, and interpersonal skills, computer proficiency, a bachelor’s degree or equivalent experience, at least one year of industry experience, and a current workers’ compensation license or certification.

Analyzes complex datasets to identify trends, anomalies, and actionable insights. Builds Power BI dashboards and reports, uses SQL and Excel for data validation and analysis, translates business questions into requirements, documents processes, and communicates findings to technical and non-technical stakeholders. Supports automation of reporting workflows and explores AI tools such as Copilot and ChatGPT to improve analysis, documentation, and productivity.