Workers Compensation Claims Examiner

TEKsystems•Des Moines, IA

2d•$30 - $48•Onsite

About The Position

Join a collaborative, employee‑focused organization where your expertise truly matters. We’re expanding our claims team and seeking experienced Workers’ Compensation Claims Examiners to manage complex medical and indemnity claims across multiple jurisdictions. If you thrive in a supportive, communicative, growth‑oriented environment, this is a place where you’ll feel right at home.

Requirements

Minimum 3 years of experience in insurance, workers’ compensation, medical, customer service, or related field
Strong communication, empathy, analytical ability, and organizational skills
Knowledge of multi‑state workers’ compensation statutes
Proficiency with Microsoft Office and claims systems
High school diploma required; bachelor’s degree preferred
Insurance designations and adjuster licensing (or ability to obtain) preferred

Nice To Haves

Workers’ compensation claims experience strongly preferred
Insurance designations and adjuster licensing (or ability to obtain) preferred

Responsibilities

Independently evaluate and determine compensability on complex claims within assigned authority
Manage medical and indemnity claims across MN, NE, SD, IA, WI, MO, and KS
Apply Claims Best Practices in investigation, coverage evaluation, and loss assessment
Conduct timely first contact with injured workers and employers
Interview injured employees and coordinate with providers, employers, and agents
Review medical documentation to assess treatment appropriateness
Establish and manage reserves; ensure accurate and timely benefit payments
Identify critical claim issues and pursue subrogation when appropriate
Manage litigated claims and collaborate with defense counsel and specialists
Utilize internal and external resources, including nurse case managers
Maintain detailed, compliant claim files for audit readiness
Participate in claim reviews, audits, and special projects