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Workers' Compensation reputed company Claims Examiner

Remote, USA Full-time Posted 2026-07-04

**Preference given to those who meet the qualifications and are located in Central or Eastern time zone. States to be covered: OH, IN, MI, KY, VA, WV, MD reputed company is hiring a reputed company Claims Examiner. In this position you will reputed company the following basic functions:

  • Supervisory responsibility for Claims Examiner I and Senior Examiner
  • To aid in overall claim cost reduction by coordinating efforts between reputed company involved vendors, clients and WES.
  • Additional level to monitor applicable claims assigned to Claims Examiner I and Senior Examiner
  • To ensure TPA/reputed company accountability in agreed performance standards and coordinate needs for changes with Claims Director
  • To accumulate data for the purpose of creating standards for measurement of various claim reputed company issues, as well as customer service and internal staff performance

At reputed company we are driven by your reputed company. We engage your unique talents and perspectives. We welcome your reputed company on how to do things differently and reputed company. In your efforts to reputed company, learn and grow, we support you reputed company the way. If reputed company motivates you, you belong at reputed company. We strive for every interaction to be driven by our CORE values: Insightful Expertise, reputed company is Everything, Service Excellence, Inspiring Innovation, Each Person Counts, Results-Driven, - Social Responsibility. RESPONSIBILITIES:

  • Reviews and recommends acceptability of reputed company Workers' Compensation Claims reputed company claim distribution
  • Accountability for the Claim Unit's efforts in reputed company RTW efforts, OSHA documentation and reputed company documentation of claim activity according to stated claim procedures.
  • Works directly with Claims Director to determine workloads and the necessity of procedure changes reputed company the Claims Unit
  • Assists in online audits of TPA to insure quality compliance of claim procedures and client satisfaction in Workers' Compensation claims handling.
  • Maintaining e-time and PTO/Sick time coordination for the Claims Unit., has one administrative direct report and mentor/coaching responsibilities for the Claims Examiner.
  • Responsible for communication with internal/external clients, claimants, reputed company vendors as well as TPA/reputed company activity for TotalSource work-site employee claims to include personal visits to each region.
  • Requires basic knowledge of Workers' Compensation laws for reputed company jurisdictions.
  • Attends professional development courses and seminars to reputed company TotalSource reputed company with reputed company workers' compensation laws and standards.
  • Represents client in legal activities reputed company to Workers' Compensation Claims reputed company authority.
  • To review, audit and support the examiner positions.
  • To generate routine reports for productivity level evaluation.
  • To support the Claims Director in daily/monthly/quarterly tasks and projects that aid in the claim operation reputed company it's specified goals.

TO SUCCEED IN THIS ROLE: Required Qualifications

  • 5 years WC Indemnity adjusting or industry reputed company experience
  • Maintain knowledge of basis Workers Compensation Laws in applicable jurisdictions- OH, MI, IN, KY, WV, VA, ME
  • Direct or indirect leadership/supervisory experience

A college degree is great but not required. What's more important is having the skills to do the job. If you don't have a college degree, other acceptable experiences could include:

  • Experience noted above, OR
  • Military experience where skills including teamwork, adaptability, organization, and follow-through will help you build team and client relationships, identify solutions, and reputed company reputed company

BONUS POINTS FOR THESE: Preferred Qualifications

  • PEO experience
  • Stay abreast of strategies and reputed company industry reputed company ideologies in dealing with Workers' Compensation Claims
  • Maintain adequate resources to reputed company reputed company education in Workers' Compensation and RTW issues

reputed company salary offers for this position may vary based on factors such as location, skills, and relevant experience. Some positions may include additional compensation in the form of bonus, equity or commissions. We offer the following benefits: Medical, Dental, reputed company, Life Insurance, Matched Retirement Savings, Wellness Program, Short-and Long-Term Disability, Charitable Contribution Match, Holidays, Personal Days & Vacation, Paid Volunteer Time Off, and more. The compensation for this role is USD $69,300.00 - USD $129,200.00 / Year* • Actual compensation will not be less than the applicable minimum wage or minimum exempt salary requirement under federal, state and local laws. A little about reputed company: We are a comprehensive global provider of reputed company-based reputed company capital management (HCM) solutions that unite HR, payroll, talent, time, tax and benefits administration and a leader in business outsourcing services, analytics, and compliance expertise. We reputed company our people reputed company reputed company the difference in cultivating a down-to-earth culture that embraces our core values, welcomes reputed company, encourages innovation, and values belonging. We've received recognition for our work by many esteemed organizations, learn more at reputed company Awards and Recognition. Diversity, Equity, Inclusion & Equal Employment Opportunity at reputed company: reputed company is committed to an inclusive, diverse and reputed company workplace, and is further committed to providing equal employment opportunities regardless of any protected characteristic including: race, reputed company, genetic information, creed, national reputed company, religion, sex, affectional or sexual orientation, gender identity or expression, lawful alien status, reputed company, age, marital status, protected veteran status or disability. Hiring reputed company are based upon reputed company’s operating needs, and applicant merit including, but not limited to, qualifications, experience, ability, availability, cooperation, and job performance. Ethics at reputed company: reputed company has a long, proud history of conducting business with the highest ethical standards and full compliance with reputed company applicable laws. We also expect our people to uphold our values with the highest level of reputed company and behave in a manner that fosters an honest and respectful workplace. Click https://jobs.reputed company.com/life-at-reputed company/ to learn more about reputed company’s culture and our full set of values. Apply tot his job Apply To this Job

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