Job Description

Description

Job Title: Claim Representative Workers Compensation
Location: Alpharetta Georgia

About the Role:
As a Claim Representative you will be responsible for handling workers compensation medical-only claims. This includes managing claims from initiation to resolution collaborating with customers and medical providers and ensuring fair and equitable outcomes throughout the process.

Key Responsibilities:

• Manage workers compensation medical-only claims from setup to closure
• Communicate with insured parties claimants and medical providers
• Investigate claims and manage medical treatment
• Prepare reports and keep claim files updated
• Set and adjust claim reserves as needed
• Ensure compliance with state regulations
• Refer claims for subrogation when needed
• Collaborate and provide excellent customer service throughout the process

Why Join Us

• On-the-job training provided
• Fast-paced supportive team environment
• Opportunity to grow your career in insurance

What Were Looking For:

• Bachelors degree preferred
• Strong communication and organizational skills
• Ability to multitask and meet deadlines
• Team player with good decision-making skills
• Proficient in Microsoft Office
• Experience in claims or insurance is a plus but not required (training provided)
• Eligible to obtain claim adjuster licenses in GA FL NC SC WV and DE within 90 days of hire
• Knowledge of medical terminology or bill processing is a plus

Required Experience:

Unclear Seniority

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