Workers' Compensation Claims Representative

🔥 16 minutes ago

🤠 Texas – Remote

infoinfo

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

Where this job comes from

Posted on Heartland Security Insurance Group's careers page, not through a job board

First seen by Remote Rocketship 16 minutes ago

Logo of Heartland Security Insurance Group

Heartland Security Insurance Group

201 - 500 employees

Founded 2004

🛡️ Insurance

Insurance

Heartland Security Insurance Group is a diversified insurance holding company comprised of eight individual companies that provide insurance and risk management services to distinct client groups. Heartland specializes in commercial insurance, workers' compensation, claims management, title insurance, loss control, and cost containment services. The company emphasizes service and community involvement, supports philanthropic and educational causes, and offers comprehensive employee benefits including health coverage, employee stock ownership plan, retirement and disability benefits. Heartland operates largely in the Southwest and focuses on serving businesses and organizations with risk management needs.

📋 Description

• Manage an assigned caseload of medical-only and lost-time workers’ compensation claims from first report of injury through resolution • Make decisions about liability and compensability, evaluate losses, set reserves, and negotiate settlements • Interact with claimants, policyholders, clients, medical providers, attorneys, appraisers, and other third parties • Make timely initial contacts and investigate new claims • Verify coverage and take recorded statements as needed • Document every conversation and action taken daily • Identify and address subrogation issues • Start and stop indemnity benefits accurately and timely • Complete jurisdictional forms accurately and timely • Monitor ongoing medical treatment and request second medical opinions when needed • Request surveillance appropriately • Work mail and diary daily • Visit clients as required • Prepare for and handle hearings • Communicate directly with clients • Prepare reports and analytical data as requested by management

🎯 Requirements

• Must hold a valid Workers’ Compensation Adjuster license • Must have at least 2-3 years of experience handling indemnity workers’ compensation claims • High school diploma • Ability to follow instructions, procedures and rules • Strong attention to detail • Good written and oral communication skills • Well organized and able to multitask • Basic computer skills in MS Word, Excel and Outlook • Fast, accurate data entry

🏖️ Benefits

• Employee Stock Ownership Plan (ESOP), providing an important retirement benefit to associates • Training developed to enhance skills needed to provide exceptional customer service

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