WC Claims Specialist - AZ - On Site

Vensure Employer Services • Chandler, AZ

378d

About The Position

Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). The company and its service providers collectively serve over 95,000 businesses and process over $135B in annual payroll. As a 'One Employer Solution' headquartered in Chandler, Arizona, Vensure helps thousands of businesses streamline and grow their operations with custom strategies that benefit both employers and employees. The Workers' Compensation Claims Specialist will service clients' worker's compensation claims with minimal supervision. This role requires that the Specialist monitor their assigned employers' workers' compensation claims, from inception through closure, to ensure that all salient aspects of claim adjudication are being effectively and efficiently performed.

Requirements

• High school/GED, some college preferred.
• 2-3 years of insurance or claims work experience required.

Responsibilities

• Responsible for servicing our Executive-level clients worker's compensation claims.
• Service includes shadow adjusting and acting as a liaison between the injured worker, client and TPA responsible for adjudicating workers' compensation losses.
• Ongoing detailed claims analysis, accident and subrogation investigation identifying red flags and potential fraud.
• Ensuring accurate reserving practices, facilitating light duty, oversight and facilitation of both medical and legal management.
• Ability to evaluate settlement value and coverage issues with the assistance of a Sr. Claims Specialist or Supervisor.
• Mitigating claim severity and driving positive claim outcomes by leading our TPA towards claim resolution.
• Preparing and presenting strategic claim reviews with client and/or carrier.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees