What are the responsibilities and job description for the Claims Specialist position at Recruit Staff Hire, LLC?
Our client is seeking an experienced Workers' Compensation Claims Specialist to investigate, evaluate, and resolve workers' compensation claims while delivering exceptional service to employers, injured workers, and key stakeholders. This role plays an important part in ensuring timely claim resolution, maintaining strong client relationships, and supporting the overall success of the organization's workers' compensation program.
The ideal candidate is an experienced claims professional who can effectively manage a caseload, communicate with empathy and professionalism, and collaborate with both internal teams and external partners to achieve positive outcomes.
Key Responsibilities
- Manage a workers' compensation caseload from initial reporting through resolution.
- Proactively monitor daily workflows to ensure deadlines are met and required filings are completed accurately and on time.
- Communicate effectively and compassionately with injured workers and their families throughout the claims process.
- Serve as a primary point of contact for employers, clients, vendors, medical providers, and other stakeholders.
- Partner with internal service teams to establish goals and implement strategies that support client success.
- Coordinate activities with external vendors and service providers to maintain efficient claim handling and workflow management.
- Prepare and deliver reports for both internal leadership and external clients.
- Present claims information and recommendations to committees, clients, and other audiences in a professional manner.
- Stay current on workers' compensation regulations, industry trends, and best practices.
- Contribute to a positive client experience by demonstrating responsiveness, accountability, and strong problem-solving skills.
Qualifications
Education
- Bachelor's degree required.
Experience
- Minimum of five years of workers' compensation claims experience.
- Current workers' compensation adjuster license in home state strongly preferred.
- Experience handling multi-state workers' compensation claims is highly desirable.
Skills & Competencies
- Strong knowledge of workers' compensation claims administration and claim resolution practices.
- Proficiency with Microsoft Office Suite, including Outlook, Word, and Excel.
- Excellent written and verbal communication skills.
- Strong analytical, organizational, and time-management abilities.
- Ability to manage competing priorities in a fast-paced environment.
- Detail-oriented with strong problem-solving and decision-making skills.
- Professional, collaborative, and service-oriented approach.
- Self-motivated with the ability to work independently and as part of a team.
Work Environment & Benefits
- Full-time, in-office position.
- Modern, professional office environment.
- Collaborative and team-focused culture.
- Organization recognized as a leading employer in its region.
- Strong commitment to employee engagement, professional development, and community involvement.
Compensation
Competitive compensation package commensurate with experience, including comprehensive benefits and opportunities for continued professional growth.
Recruit Staff Hire is conducting this search on behalf of our client. Qualified candidates with workers' compensation claims experience are encouraged to apply.