Workers' Compensation Claims Representative (Northeast)

Job Responsibilities

Determine compensability and/or coverage issues for loss time workers' compensation claims
Effectively manage a caseload of loss time claims from numerous jurisdictions
Negotiate and direct settlements under management's review
Gather medical and factual evidence to determine compensability
Direct outside investigation and handle litigation files within given authority
Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers

Requirements
Qualifications

A minimum of 3 years of experience required
Experience handling claims in multiple jurisdictions including (but not limited to): PA, MA, VA, ME, MD
Maryland residents highly encouraged to apply
Bachelor's degree preferred
Carrier experience preferred
Experience in handling lost time or litigated claims
Familiarity with medical terminology
Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
Excellent verbal and written communication skills needed