What are the responsibilities and job description for the Claims Representative position at LWCC People Operations?
LWCC is a Champion of Louisiana and proud to be headquartered in the state capital, Baton Rouge. As a model private mutual workers’ comp company, we are dedicated to excellence in execution from underwriting to compassionate care of injured workers. We are proud to partner with our agents and together deliver outstanding service to our policyholders and their workers. Louisiana Loyal, a movement we launched and continue to lead to celebrate and elevate Louisiana, drives us in pursuit of our purpose to help Louisiana thrive by bettering our state one business and one worker at a time. LWCC has been consistently recognized by industry leaders and named to the Ward’s 50® group of top-performing insurance companies, supporting our promise to provide safety, security, and stability to businesses in Louisiana.
Our company offers an excellent benefits package including health, dental, vision, life and disability insurance; a 401(k) savings plan; educational assistance; and an on-site fitness center. LWCC is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, religion, sex, age, handicap, Vietnam era or disabled veteran status.
For more information on LWCC, its services, and its efforts to elevate Louisiana, please visit www.lwcc.com.
Overview
Integral part of helping Louisiana thrive through efficient and consistent handling of injured workers claims. Investigating assigned claims through completion. Provides unparalleled customer experience for all our stakeholders.
Major Areas of Accountability
- General
- Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents. Is responsible for the well-being of hundreds of Louisiana employees who are injured.
- Examine claims forms and other records to determine insurance coverage.
- Interview or correspond with our policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation.
- Investigate facts of loss to determine extent of injury.
- Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim.
- Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies.
- Negotiate claim settlement opportunities.
- Confer with legal counsel on claims involving litigation.
- Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals.
- Seeks opportunities for improvement and continued learning
- Maintains required LA Workers’ Compensation Adjuster License.
- Performs other job duties as needed by the department
Personality/Working Style
- Strong character
- Alignment with company values, mission, and vision
- Trustworthy and honest
- Decisive
- Curious and persistent
- Passion for innovation
- Willingness to learn
- Adaptive to changing (tolerance for ambiguity)
- Desire to collaborate to achieve corporate goals
- Strong communicator
- Effective communication skills
- Empathetic listener and open-minded
- Commitment to accountability
Education and Experience
- Education Required:
- Bachelor’s degree and a minimum of 2 years handling of workers’ compensation claims, or 4 years of experience as an insurance claims adjuster. OR High School Diploma/GED with 2 years handling of workers’ compensation claims and 4 years of experience as an insurance claims adjuster.
- Active Louisiana Workers' Compensation Adjuster License required prior to start or obtained within seven (7) business days after start date.
- Skills Required:
- Communication, computer literate, math, judgement and problem-solving skills.
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