Lost Time Claims Specialist – Workers' Compensation

🔥 12 hours ago

🦌 Connecticut, Florida, +20 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $55.1k - $110.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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Encova Insurance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

💸 Finance

👥 B2C

Insurance • Finance • B2C

Encova Insurance is an insurance company dedicated to providing comprehensive insurance solutions for both personal and commercial needs. With decades of experience in the industry, Encova Insurance offers a wide range of products including home, auto, and workers' compensation insurance, while specializing in tailored commercial packages for complex businesses. They prioritize innovation and customer service, ensuring policyholders receive the support and coverage necessary for long-term success.

📋 Description

• Manage indemnity and medical workers’ compensation claims from investigation through cost-effective conclusion • Evaluate claims and establish action plans for medical and indemnity benefits • Determine compensability, benefit eligibility, claim outcomes, reserves and settlement strategies • Gather facts through interviews and recorded statements • Identify and pursue subrogation recoveries • Consult with claim directors, return-to-work specialists, nurse case managers, medical professionals and legal counsel • Collaborate with injured workers, employers, counsel and healthcare professionals to manage costs and promote quality care • Facilitate injured workers’ safe and timely return to work • Manage claims litigation, expenses and panel counsel • Analyze reports from physicians, attorneys and vocational rehabilitation experts • Evaluate and negotiate claim settlements • Present claim details at internal team staffing and provide guidance • Participate in claim reviews, onboardings and policyholder/agent meetings • Develop presentations for special projects, meetings and conferences • Collaborate with policyholders to align objectives and foster continuous improvement

🎯 Requirements

• Three years of experience in the field of workers’ compensation insurance required • Ability to manage claims through the litigation process • Experience in workers’ compensation claims practices and laws, court procedures, precedents and state statutes • Bachelor’s Degree from an accredited college or university is preferred • One valid workers’ compensation adjuster license is strongly preferred • Must be eligible to obtain additional licenses as required • Must pass the claims adjuster license exam(s) as assigned within 90 days of being hired • Preference may be shown to candidates with multiple state claims management experience • Ability to use logic and sound reasoning to identify alternative solutions for problem-solving • Strong written and verbal communication skills • Strong analytical skills • Ability to multitask and manage time effectively and productively • Ability to work effectively independently and in a team environment • Ability to develop and maintain strong internal and external relationships • Ability to work effectively in a paperless environment • Skilled in the use of laptops, claims management systems, and Microsoft Office suite • Must reside and work within one of Encova’s eligible U.S. states

🏖️ Benefits

• Bonus / company incentive bonus program • Health insurance • Dental insurance • Vision insurance • Company-provided life and income protection plans • 401(k) retirement plan with 100% company match up to 7% of annual salary • Paid time off • Paid holidays • Floating holidays • Flexible work arrangements, including hybrid and remote depending on the role