Workers Compensation Claims Examiner

Summary

Responsible for reviewing, adjudicating and managing low- and mid-level workers' compensation claims in accordance with company guidelines, statutory regulations and best practices. Manages claims through well-developed action plans to an appropriate and timely resolution.

• Reviews and evaluates workers’ compensation claims to determine compensability and benefits due on indemnity claims.
• Sets and manages reserve accounts, ensures that accurate levels are maintained and that documentation is on file with state agency.
• Develops and manages workers’ compensation claims action plans and manages to resolution.
• Establishes and manages return-to-work plan; identifies modified work opportunities to enable return to work.
• Coordinates claim action and processing with claimant and client.
• Approves claim payments, manages subrogation of claims and negotiates settlements.
• Develops effective working relationships with outside vendors and ensures professional client relationships.
• Communicates with injured workers, employers, doctors and attorneys.
• Composes medical examination assignments, letters and legal orders.
• Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims.
• Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information).
• Other duties as assigned.

• Education:
  
  Bachelor's Degree in business or equivalent combination of education and experience.
• Experience:
  
  Three (3) or more years of experience in workers’ compensation field.
• Certificates and/or licenses as required by State regulation.

• Excellent verbal and written communication skills.
• Excellent presentation skills.
• Analytical skills with ability to interpret results.
• Strong organizational skills.
• Good interpersonal skills with ability to work in a team environment.
• Proficient in Microsoft Office Products.

We are proud to provide comprehensive, high quality employee programs to meet employees’ needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.

For immediate consideration for this position, please click on the “Apply Now” button.

Alliant Insurance Services, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, age, religion, gender, sexual orientation, gender identity, national origin, disability, protected veteran status or any other protected status.

If you are applying for a job and need a reasonable accommodation for any part of the employment process, please call our Career Center at and let us know the nature of your request and contact information.

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