The Jonus Group
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WC Claims Representative
role at
The Jonus Group
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Job Summary This position is for an experienced
Workers' Compensation (WC) Claims Representative
to manage lost time claims. The role involves working remotely to handle claims from multiple jurisdictions, including North Carolina, South Carolina, and Tennessee. The successful candidate will be responsible for evaluating compensability, negotiating settlements, and overseeing the entire claims process while maintaining consistent communication with stakeholders.
Responsibilities
Determine compensability and coverage issues for lost time workers' compensation claims.
Effectively manage a caseload of lost time claims across multiple jurisdictions (NC, SC, TN).
Negotiate and direct settlements with management review.
Gather medical and factual evidence to assess compensability.
Direct external investigations and handle litigation files within given authority.
Maintain regular contact with claimants, attorneys, outside investigators, rehabilitation personnel, and medical providers.
Collaborate with insureds, account liaisons, and other stakeholders to ensure claims are managed efficiently.
Qualifications/Requirements
Minimum of three years of experience handling workers' compensation claims.
Experience managing claims in North Carolina, South Carolina, and/or Tennessee.
Bachelor's degree required.
Carrier experience is preferred.
Proven experience handling lost time or litigated claims.
Familiarity with medical terminology.
Strong organizational, problem-solving, negotiation, and conflict resolution skills.
Excellent verbal and written communication skills.
Compensation Package
Salary: $70K - $87K per year (based on experience).
Competitive benefits package, paid time off, professional development opportunities, etc.
Fully remote work schedule.
Additional Information Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
Job Details
Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Sales, Business Development, and Finance
Industries: Banking, Financial Services, and Insurance
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WC Claims Representative
role at
The Jonus Group
Get AI-powered advice on this job and more exclusive features.
Job Summary This position is for an experienced
Workers' Compensation (WC) Claims Representative
to manage lost time claims. The role involves working remotely to handle claims from multiple jurisdictions, including North Carolina, South Carolina, and Tennessee. The successful candidate will be responsible for evaluating compensability, negotiating settlements, and overseeing the entire claims process while maintaining consistent communication with stakeholders.
Responsibilities
Determine compensability and coverage issues for lost time workers' compensation claims.
Effectively manage a caseload of lost time claims across multiple jurisdictions (NC, SC, TN).
Negotiate and direct settlements with management review.
Gather medical and factual evidence to assess compensability.
Direct external investigations and handle litigation files within given authority.
Maintain regular contact with claimants, attorneys, outside investigators, rehabilitation personnel, and medical providers.
Collaborate with insureds, account liaisons, and other stakeholders to ensure claims are managed efficiently.
Qualifications/Requirements
Minimum of three years of experience handling workers' compensation claims.
Experience managing claims in North Carolina, South Carolina, and/or Tennessee.
Bachelor's degree required.
Carrier experience is preferred.
Proven experience handling lost time or litigated claims.
Familiarity with medical terminology.
Strong organizational, problem-solving, negotiation, and conflict resolution skills.
Excellent verbal and written communication skills.
Compensation Package
Salary: $70K - $87K per year (based on experience).
Competitive benefits package, paid time off, professional development opportunities, etc.
Fully remote work schedule.
Additional Information Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
Job Details
Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Sales, Business Development, and Finance
Industries: Banking, Financial Services, and Insurance
#J-18808-Ljbffr