Claims Specialist - Winston-Salem

West Shore Home Recruiting • Winston-Salem, NC

5d • Onsite

About The Position

The Claims Specialist manages workers’ compensation and liability claims to ensure timely reporting, documentation, and resolution. This role works closely with employees, managers, insurance providers, and HR to support post-accident care, maintain compliance with OSHA reporting requirements, and ensure accurate tracking of workplace injuries and related leave.

Requirements

• High School Diploma or GED required.
• 2+ years of experience in an HR, safety, or claims-related role.
• High attention to detail and ability to manage multiple priorities.
• Must have a smartphone or smart device to access company systems with two-factor authentication.

Nice To Haves

• Experience with HRIS systems preferred.

Responsibilities

• Submit workers’ compensation and liability claims to insurance providers and maintain communication with employees, managers, and carriers throughout the claim lifecycle.
• Authorize injury care and drug screens with approved medical facilities and collect physician documentation, treatment updates, and screening results.
• Review and approve accident and incident reports within the HRIS system and communicate with managers to ensure accurate and timely report submission.
• Identify incidents that require investigation in partnership with the Claims Manager and review reports for safety compliance, including proper PPE use.
• Track employee follow-up appointments, missed workdays, and work restrictions; coordinate with managers and HR on scheduling adjustments, accommodations, and return-to-work updates.
• Maintain OSHA logs and documentation, including annual OSHA 300 reporting and required workplace postings, and support the Claims Manager with disputed claims or litigation matters.

Benefits

• Comprehensive Health Insurance options (Medical, Dental, Vision, Accident, Life, Critical Illness, Short and Long-Term Disability)
• 401(k) plans with company match
• HSA plan with company match
• Paid holidays and paid time off (PTO)
• Employee Referral Program
• Employee Discount Program
• Paid training and unlimited professional growth potential

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED