Workers Compensation Claims Examiner I

Employer’s Claim Management•Montgomery, AL

1d•Hybrid

About The Position

Employer’s Claim Management is in the business of helping people. We help employees that have been injured by a work-related accident. We help employers by promoting workplace safety in their business. We believe that we are stronger when we work together. We work together each day to challenge and help each other be better. We purpose to serve others and each other. Above all we want to have a positive impact on those that we meet and serve each day. We believe that together we can make a difference. If you want to make a difference join the team at Employer’s Claim Management. We serve Alabama employers with a focus on professionalism, responsiveness, and sound claim handling. We are seeking a Workers' Compensation Claims Examiner I who is motivated, detail-oriented, and interested in developing a long-term career in claims management. This role is ideal for someone who enjoys building relationships, continuously learning, is inquisitive, enjoys a team environment and is interested in developing a career in claims. Prior claims experience is not required. We provide structured training and mentorship to support the development of core claims handling skills while maintaining high service.

Requirements

Strong interest in the insurance or workers' compensation field.
Willingness to learn and apply Alabama Workers' Compensation law through training and hands-on experience.
Ability to organize, analyze, and process information to support claim decisions.
Effective verbal and written communication skills.
Professional demeanor when communicating with claimants, employers, medical providers, insurance agents, and attorneys.
Strong time management and organizational skills with attention to detail.
Ability to work independently while contributing to a collaborative team environment.
Proficiency with Microsoft Office products and general comfort with technology.

Nice To Haves

Prior claims experience is not required.
Prior experience in claims, insurance, legal, medical, or customer-facing roles is helpful but not required.

Responsibilities

Manage workers' compensation claims from initial report through resolution.
Develop professional relationships with claimants, employers, attorneys, nurse case managers, medical providers and vendors.
Communicate professionally with claimants, employers, medical providers, and attorneys to obtain and share claim information
Investigate the compensability of workers' compensation claims.
Learn to calculate and issue indemnity and medical benefit payments accurately and timely.
Assist in establishing and maintaining appropriate claim reserves.
Coordinate with outside vendors such as nurse managers, investigators, and medical providers
Provide employers with status updates and claim activity information as directed.
Support settlement discussions and legal matters within assigned authority.
Maintain complete, accurate, and timely documentation in the claims management system.
Learn medical and legal terminology as it relates to workers' compensation claims.