Louisiana Workers' Compensation Corporation, Baton Rouge, Louisiana, United States of America
Job Description
Posted Thursday, July 24, 2025 at 6:00 AM
LWCC is a Champion of Louisiana and proud to be headquartered in the state capital, Baton Rouge. As a model private mutual workers comp company, we are dedicated to excellence in execution from underwriting to compassionate care of injured workers. We are proud to partner with our agents and together deliver outstanding service to our policyholders and their workers. Louisiana Loyal, a movement we launched and continue to lead to celebrate and elevate Louisiana, drives us in pursuit of our purpose to help Louisiana thrive by bettering our state one business and one worker at a time. LWCC has been consistently recognized by industry leaders and named to the Wards 50 group of top-performing insurance companies, supporting our promise to provide safety, security, and stability to businesses in Louisiana.
Our company offers an excellent benefits package including health, dental, vision, life and disability insurance; a 401(k) savings plan; educational assistance; and an on-site fitness center.LWCC is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, religion, sex, age, handicap, Vietnam era or disabled veteran status.
For more information on LWCC, its services, and its efforts to elevate Louisiana, please visit
Overview
Handles and triages all incoming calls for the claims department to ensure efficient routing and resolution. Receives and assigns first reports of injury from policyholders, employees, agents, and attorneys via phone, email, fax, and mail. Accurately inputs all relevant information into the claims system while maintaining data integrity throughout the process. Makes informed decisions on OWC and NCCI coding, including but not limited to nature of injury, cause of injury, injury description, and class code. Determines claim assignment to the appropriate lost time or medical only team. Enters all precertifications for medical treatment and/or testing into the claims system. Additional duties include indexing mail and medical bills in the medical bill review system.
Major Areas of Accountability
- Oversees accurate intake and complaint coding of newly reported claims into the electronic claims system and ensures alignment with regulatory standards and operational efficiency.
- Drives effective stakeholder communication to support seamless claims processing and service excellence.
- Enters precertification requests within the claims system, including the authorization of medical appointments.
- Must be able to interpret data on submitted forms to accurately enter coding for medical providers and treatment, to include ICD and CPT coding.
- Maintains up to date knowledge of claims policies and procedures to provide informed support to customers.
- Maintains the integrity and current correctness of the claims data.
- Performs claims indexing simultaneously in the medical bill review system, claims system, and document management system to ensure accurate and timely processing and payment of medical bills.
- Serves as resource person for less experienced team member personnel and assists in resolving technical questions or problems.
- Assists in training of team members.
- Resolves customer issues and escalations. Also, identifies and transfers calls needing attention of a claim representative, claim specialist, or claims manager.
- When handling irate callers, will attempt to diffuse the situation by answering questions and assessing the needs of the caller.
- When necessary, will notify the Operations Supervisor to determine if security measures are indicated.
- Answers and handles claims customer service calls along with medical billing inquiries received by email.
- Approaches job in a conscientious and mature fashion, demonstrating a sense of responsibility.
- Exhibits an ethical manner of conduct and keeps sensitive information confidential.
- Demonstrates a willingness to contribute what is necessary to get the job done.
- Performs all duties and responsibilities in a timely and efficient manner in accordance with prescribed company policies and standards.
- Performs other duties and responsibilities assigned.
Personality/Working Style
- Strong character
- Alignment with company values, mission, and vision
- Trustworthy and honest
- Decisive
- Curious and persistent
- Passion for innovation
- Willingness to learn
- Adaptive to changing (tolerance for ambiguity)
- Desire to collaborate to achieve corporate goals
- Strong attention to detail and organizational skills
- Possesses interpersonal skills, particularly over the telephone, with a strong customer-centered approach
- Speaks and writes with clarity and confidence, backed by a solid grasp of grammar, punctuation, and tone
- Empathetic listener and open-minded
- Commitment to accountability
- Possesses conflict resolution skills
- Technical skills
- Data entry, computer, and organizational skills
- Proficient in Microsoft Word, Excel, and Teams
- Analytical skills for determination of proper coding
- Knowledge of medical terminology, including occupational diseases
- Knowledge of workers compensation jurisdiction and manual class codes
- Knowledge of claims processing, OWC, and NCCI coding
Education and Experience
- High school diploma or equivalent
- Minimum of three to five years experience working in an insurance office environment
- Knowledge of workers compensation claims processing and medical technology preferred
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