3 workers comp senior claims representative jobs found

The Customer Service Representative (CSR) provides exceptional service to insureds, carriers, and partners by responding to inquiries and resolving issues related to coverage, claims, billing, and account information. The CSR handles both inbound and outbound customer interactions to ensure needs are met accurately, efficiently, and with empathy. This role contributes directly to customer satisfaction, retention, and the overall success of the Affinity Customer Service team. Collaboration, teamwork, and strong communication within the team are key to success.  Your Impact:   Respond to inbound calls, emails, and other inquiries from customers and carriers in a professional, courteous, and timely manner.  Place outbound calls as needed to follow up on customer inquiries, resolve outstanding issues, or provide updates.  Maintain accurate and complete customer service notes and documentation in the CRM system.  Process client requests, policy changes, and updates...

We are looking for Claims Coordinator to join our team. In this role, you will be responsible for reviewing and analyzing claims to ensure they are processed accurately and in accordance with policy provisions. You will handle moderate to complex claim issues, ensuring that all necessary documentation is obtained, and claims are either approved or denied based on established guidelines. Your Impact: Analyze and research claim issues of moderate to complex difficulty. Ability to comprehend complicated workflows, policy certificates and policy provisions. Review and apply policy provisions in processing of claims received. Request and obtain necessary documents for claim processing/consideration, including scheduling follow ups for documentation. Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements. Proper documentation of required information in claim system, including follow up information....

Oversees the management and analysis of reinsurance claims, including complex and high value exposures. Ensures accurate reporting, billing, and recovery of reinsurance assets while acting as a subject matter expert on treaty agreements. Partners with claims teams to support effective handling, optimize recoveries, and maintain compliance with contractual requirements. Your Impact: Evaluate underlying claims to determine reinsurance applicability and coverage alignment with precision. Interpret reinsurance treaties to drive accurate reporting and ensure full contractual adherence. Collaborate cross functionally with underwriters, brokers, and actuaries to assess claim developments and optimize outcomes. Enforce strict compliance with internal protocols while upholding operational integrity and consistency. Successful Candidates Will Have: Bachelor's degree required; reinsurance certifications preferred (e.g., ARe, CPCU, AIC) 5+ years of reinsurance...