Senior Claims Representative

Lwcc-posted 10 months ago
Full-time • Mid Level
Baton Rouge, LA
Religious, Grantmaking, Civic, Professional, and Similar Organizations
Resume
Match Score
Upload and Match ResumeTrack Jobs with Teal

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.

  • Investigates, evaluates, and proactively manages assigned claims of variable complexity through final disposition.
  • Handles lost time claims to include high IWIS claims, high exposure claims, as well as claims for assigned special accounts.
  • Serves as a resource and mentor to members of the department.
  • Uses technology and systems to manage claims, including document management, utilization review, and pharmacy management.
  • Proactively manage litigated claims with in-house legal or outside counsel with focus on timely resolution and/or settlement.
  • Evaluate and settle all claims with settlement potential within increased authority limits.
  • Responsible for investigating and determining coverage, compensability, and subrogation and second injury fund potential.
  • Manage occupational disease claims and any other claims involving extraordinary claim issues.
  • Develop cost containment strategies for large claims and make recommendations for productive case outcomes.
  • Document claim files in accordance with quality review standards and complete reinsurance reporting on high exposure claims.
  • Establish and maintain appropriate file reserves with increased authority limits.
  • Provide an appropriate level of customer service to policyholders and agents and promptly respond to resolve complaints or claim problems.
  • Bachelor's degree and four years handling workers' compensation claims, or High School Diploma/GED with eight years of insurance claims handling experience, four of which being workers' compensation claims.
  • Active Louisiana Workers' Compensation Adjuster License required prior to start or obtained within seven (7) business days after start date.
  • Minimum of two years as a Claims Representative strongly preferred.
  • CPCU, ARM, AIC preferred.
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Disability insurance
  • 401(k) savings plan
  • Educational assistance
  • On-site fitness center
Track Jobs with Teal

Job Search Resources

•
Resume Builder
•
Resume Examples
•
Cover Letter Examples

Tools

Career Hubs

Guides

Company

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service