Claims Representative

Job 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

Qualifications

What We’re Looking For

• Bachelor’s 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