What are the responsibilities and job description for the Workers Compensation Claims Specialist position at Payday | Human Resource Solutions?
Company Description Payday | Human Resource Solutions is a full-service HR outsourcing platform dedicated to reducing the complexities of managing and growing businesses. The organization focuses on delivering high-performance client care by living core convictions of integrity, service, and impact. Payday partners with employers to streamline HR processes and provide reliable support across key workforce functions. Team members join a collaborative, client-focused environment that values accountability, professionalism, and meaningful results for clients.
Role Description The Workers Compensation Claims Specialist is a full-time, on-site role based in Pensacola, FL. This role is responsible for managing workers compensation claims from initial report through resolution, including gathering incident details, coordinating with employees, employers, and insurance carriers, and maintaining accurate claim records. Daily tasks include reviewing claim documentation, verifying coverage, monitoring claim status, and ensuring compliance with relevant regulations and company policies. The specialist responds to inquiries, provides guidance to clients on workers compensation processes, and supports the administration of related employee benefits. The role also involves collaborating with internal HR and payroll teams to ensure timely and accurate claim handling and reporting.
Qualifications
Role Description The Workers Compensation Claims Specialist is a full-time, on-site role based in Pensacola, FL. This role is responsible for managing workers compensation claims from initial report through resolution, including gathering incident details, coordinating with employees, employers, and insurance carriers, and maintaining accurate claim records. Daily tasks include reviewing claim documentation, verifying coverage, monitoring claim status, and ensuring compliance with relevant regulations and company policies. The specialist responds to inquiries, provides guidance to clients on workers compensation processes, and supports the administration of related employee benefits. The role also involves collaborating with internal HR and payroll teams to ensure timely and accurate claim handling and reporting.
Qualifications
- Candidates should possess skills in Claims Handling and Claims Management, including evaluating claims, tracking progress, and facilitating resolutions.
- Candidates should possess knowledge of Insurance and Workers Compensation regulations, with the ability to interpret policy terms and requirements.
- Candidates should possess experience with Employee Benefits related to workplace injuries, including coordination of leave and return-to-work processes.
- Candidates should possess strong Customer Service skills, with the ability to communicate clearly, handle sensitive situations, and support diverse stakeholders.
- Relevant experience in workers compensation, risk management, or HR support in a business or insurance environment.
- Strong organizational skills, attention to detail, and ability to manage multiple claims and deadlines.
- Proficiency with office software and claim management systems; ability to learn new platforms quickly.
- High school diploma or equivalent required; additional education or certifications in insurance, HR, or risk management are beneficial.