2 workers comp senior claims representative jobs found

Overview We are seeking experienced professionals to join our Workers’ Compensation team in two key roles:   Senior Claim Examiner   and   Lead Claim Examiner . Both positions play a critical role in managing workers compensation claim files and ensuring compliance with state regulations while delivering exceptional service. Responsibilities Senior Claim Examiner Manage complex and high-exposure workers’ compensation claims from start to resolution. Investigate claims, determine compensability, set reserves, and negotiate settlements. Serve as a resource for junior examiners and assist with mentoring. Requires   5+ years of workers’ compensation claims experience   and strong technical knowledge.   Lead Claim Examiner Responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Summary This is a shared position reporting to the Manager of Bridge Pointe Administration Services 75% of the time and reporting to the Manager of Bridge Pointe Structured Settlements the other 25% of the time. Primary responsibility is providing support activities to the Bridge Pointe Administration team and Structured Settlement teams by providing administrative, operational, and customer service support for fiduciary trust accounts and structured settlements. Prepare and track settlement quotes, premiums, and payment schedules; maintain accurate case management records; and coordinates documentation with carriers and internal teams. Generates regulatory correspondence, reviews legal and financial documents for compliance, supports referral intake and service quoting, and delivers daily customer service to members, providers, and...