Worker's Compensation Claims Examiner | Dedicated Client | Jurisdictional Knowledge: MD | Hybrid
About The Position
The Worker’s Compensation Claims Examiner analyzes lost-time workers’ compensation claims on behalf of clients to determine benefits due. The role ensures claims are adjudicated on an ongoing basis in accordance with service expectations, industry best practices, and specific client service requirements. This is a hybrid position based in Hunt Valley or Largo, Maryland, handling claims requiring Maryland jurisdictional knowledge. The examiner investigates claims, develops action plans, negotiates settlements within designated authority, communicates with claimants and clients, and reports claims to excess carriers. A high school diploma or GED and at least one year of claims management experience or an equivalent combination of education and experience are required. A bachelor’s degree and relevant professional certification are preferred; Maryland licensing is not required.
Requirements
- High school diploma or GED.
- At least one year of claims management experience, or an equivalent combination of education and experience.
- Maryland jurisdictional knowledge.
- Ability to think clearly and conceptually, exercise excellent judgment and discretion, troubleshoot, solve problems, analyze information, handle work-related stress and multiple priorities, and meet deadlines.
- Ability to perform computer keyboarding and meet hearing, vision, and talking requirements.
- Maryland licensing is not required.
Nice To Haves
- Bachelor’s degree from an accredited college or university.
- Professional certification applicable to the line of business.
Responsibilities
- Analyze and process claims using well-developed action plans to reach appropriate and timely resolutions.
- Investigate claims and gather information to determine claim exposure.
- Negotiate claim settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to the excess carrier and respond professionally and promptly to requests for direction.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending account or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
