Claims Representative; Workers

Overview

Integral part of helping Louisiana thrive through efficient and consistent handling of injured workers claims. Investigating assigned claims through completion. Provides unparalleled customer experience for all our stakeholders.

• General
  • Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents. Responsible for the well-being of hundreds of Louisiana employees who are injured.
  • Examine claims forms and other records to determine insurance coverage.
  • Interview or correspond with policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation.
  • Investigate facts of loss to determine extent of injury.
  • Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim.
  • Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies.
  • Negotiate claim settlement opportunities.
  • Confer with legal counsel on claims involving litigation.
  • Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals.
  • Seeks opportunities for improvement and continued learning.
  • Maintains required LA Workers’ Compensation Adjuster License.
  • Performs other job duties as needed by the department.

• Strong character
  • Alignment with company values, mission, and vision
  • Trustworthy and honest
  • Decisive
  • Curious and persistent
• Passion for innovation
  • Willingness to learn
  • Adaptive to changing (tolerance for ambiguity)
  • Desire to collaborate to achieve corporate goals
• Strong communicator
  • Effective communication skills
  • Empathetic listener and open-minded
  • Commitment to accountability

• Education Required:
  • Bachelor’s degree and a minimum of 2 years handling workers’ compensation claims, or 4 years of experience as an insurance claims adjuster. OR High School Diploma/GED with 2 years handling workers’ compensation claims and 4 years of experience as an insurance claims adjuster.
  • Active Louisiana Workers  Compensation Adjuster License required prior to start or obtained within seven (7) business days after start date.
• Skills Required:
  • Communication, computer literacy, math, judgment and problem-solving skills.

LWCC is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, religion, sex, age, handicap, Vietnam era or disabled veteran status. Our team is committed to safety, security, and stability for Louisiana businesses and workers.

LWCC offers an excellent benefits package including health, dental, vision, life and disability insurance; a 401(k) savings plan; educational assistance; and an on-site fitness center. For more information on LWCC, its services, and its efforts to elevate Louisiana, please visit

• Seniority level:
  Entry level
• Employment type:
  
  Full-time
• Job function:
  Finance and Sales
• Industries:
  Insurance

Non-substantive or repetitive lines from the original description have been omitted to improve clarity and focus on responsibilities, qualifications, and workplace context.