Claims Representative - Workers' Compensation - Remote

Overview

biBerk is seeking an experienced worker’s compensation claims adjuster. The position is fully remote from anywhere in the continental US.

In Short

• Determine compensability and/or coverage issues for loss time workers' compensation claims
• Effectively manage a caseload of loss time claims from numerous jurisdictions
• Negotiate and direct settlements under management's review
• Gather medical and factual evidence to determine compensability
• Direct outside investigation and handle litigation files within given authority
• Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel
• Routine contact with insureds, account liaisons and medical providers

Requirements

• A minimum of 5 years of experience required
• Experience handling claims in multiple jurisdictions, including FL and GA.
• Bachelor's degree required
• Carrier experience preferred
• Experience in handling lost time or litigated claims
• Familiarity with medical terminology
• Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
• Excellent verbal and written communication skills needed

Benefits

• Medical (PPO/HDHP), vision, disability, and life insurance.
• Enhanced dental plan with orthodontia coverage in addition to a standard plan.
• Generous PTO plan for all benefit-time eligible employees.
• Paid company holidays and 4 floating holidays.
• Paid parental leave.
• Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
• Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
• Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
• Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
• Voluntary benefits that include accident, critical illness, and hospital indemnity.
• Employee discount and rewards program on travel, tickets, electronics, home, and more.