Join us on this exciting journey to transform the staffing industry!
Workers Compensation Claims Specialist, 100% Remote
Who We Are
As the United States’ largest light industrial staffing company and the first
workforce-as-a-service provider, our digital-first approach to staffing is
rooted in a rich history of delivering high-quality, scalable workforce
solutions to the organizations driving the American supply chain. Our colleagues
are guided by our purpose of Championing People, Unlocking Potential and bring
this to life every day as they help put hundreds of thousands of people to work
at tens of thousands of companies across the country. The foundation of our
culture is built upon a bridge to better, offering our colleagues rewarding and
growth-oriented experiences that positively impact lives and businesses in
innovative and meaningful ways.
Job Summary
The Workers’ Compensation Claims Specialist plays a key role in supporting Risk
Management’s objective of optimizing the organization’s cost of risk by managing
complex workers’ compensation claims. This role requires a deep understanding of
claims processes, strong communication skills, and the ability to coordinate
with internal and external stakeholders to ensure timely and effective
resolution.
Your Role & Responsibilities
Actively and consistently supports all efforts to simplify and enhance the
customer experience.
Demonstrates a strong customer service focus by building sustainable
relationships with internal and external stakeholders through proactive and
interactive communication.
Maintains composure and handles difficult situations diplomatically and
professionally.
Manages a portfolio of legacy, multi-jurisdictional workers’ compensation
claims with a focus on timely and cost-effective resolution.
Proactively develops claim strategies based on factors such as injury type,
jurisdiction, body part, and claimant profile in alignment with Employbridge
standards and best practices.
Ensures accurate and timely establishment of claim reserves to support stable
actuarial studies.
Drives claim closures to minimize financial exposure and improve claim
outcomes.
Maintains thorough and timely documentation in the internal RMIS system,
capturing medical, legal, and claim developments to ensure accountability
with third-party administrators (TPAs).
Participates in scheduled claim reviews with TPAs to maintain alignment on
reserves, action plans, and resolution strategies with adjusters, nurse case
managers, and attorneys.
Assists team members with wage verification and wage statement requests.
Prepares and sends necessary notifications to branch managers following
resignation or release check requests.
Assists in resolving claims reported with an unknown location to ensure
accurate reporting and processing.
Manages electronic mail distribution for the Risk Services department to
ensure timely routing of information and requests.
Preferred Education & Experience
High school diploma or GED required; Associate's or Bachelor's degree
preferred.
Experience in risk management, insurance, or a related field strongly
preferred.
Staffing industry experience preferred.
Bilingual in English and Spanish preferred.
Competencies (Skills & Knowledge You’ll Bring)
Proficient in MS Word, Excel, Outlook, and eager to learn new systems and
platforms.
Strong analytical and problem-solving skills; able to evaluate multiple
options and select appropriate actions.
Adaptable and quick to learn new concepts in a fast-paced, changing
environment.
Excellent verbal and written communication; able to tailor communication
style to various audiences.
Demonstrates integrity and ethical behavior in all interactions.
Sound judgment and decision-making skills, balancing risks and priorities
effectively.
Results-driven with strong organizational and time-management capabilities.
Join our Team!
High EQ/High IQ team
Comprehensive Medical, Dental & Vision benefits starting on the first of the
month following hire date
8 Paid Holidays per year
2 Floating Holidays per year
Paid Time Off
401(k)
Wellness Program
Parental Leave
The anticipated annual base salary for this position in the US is $50,000 -
$55,000 This range does not include any other compensation components or other
benefits that an individual may be eligible for. The actual base salary offered
depends on a variety of factors, which may include as applicable, the
qualifications of the individual applicant for the position, years of relevant
experience, specific and unique skills, level of education attained,
certifications or other professional licenses held, and the location in which
the applicant lives and/or from which they will be performing the job.
EmployBridge offers a competitive benefits package which includes
Medical/Dental/Vision, prescription drug benefits, 401(k), paid time off and
holidays, a wellness program, and incentive programs. We also offer a variety
of career paths and encourage promotion from within.
Employbridge is an Equal Opportunity Employer committed to diversity and
inclusion. All qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation, gender
identity, national origin, age, marital status, disability, military or veteran
status, genetic information, or any other characteristic protected by federal,
state or local laws.