Peoplease
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Workers' Compensation Claims Analyst
role at
Peoplease
Peoplease is a leading Professional Employer Organization (PEO) providing solutions to small and medium‑sized businesses in the blue and gray‑collar industries. We enable our clients and partners to achieve their aspirations by offering world‑class service and administrative solutions in payroll, human resources, benefits, and risk management. At Peoplease, we foster a culture of inclusion and belonging, driven by our core values: Engagement, Integrity, Tenacity, Curiosity, Happiness, and a Service‑obsessed mindset.
Position Summary Peoplease is looking for a qualified Workers' Compensation Claims Analyst to join our team. The purpose of the Claims Department is to manage a caseload of complex workers’ compensation insurance claims for our client’s employees. The
Workers' Compensation Claims Analyst
will help the Claims Department by determining compensability, monitoring reserves, and aggressively negotiating settlement of claims. Additionally, this position is accountable for the quality of claim services as perceived by Peoplease clients and within our corporate claim standards.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Duties and Responsibilities
Manage a caseload of WC claims in multiple jurisdictions which may be outside the assigned region
Investigate and monitor claims in accordance with established claims handling procedures using company guidelines
Manage all open work comp claims for assigned multistate territories (Approx. 175‑200 claims) with a mix of Med Only and indemnity/loss time
Give recommendations to carrier/TPA for ways to help lower the cost of the claims as well as getting the claim closed
Handle all litigation requests from attorneys
Review and evaluate settlement authority, reserve requests within assigned authority levels
Assess and monitor subrogation claims for resolution
Delivery of quality claim oversight to clients
Participate in QBR’s and client claim reviews
Guide and educate clients on proper claim reporting
Review medical, legal and miscellaneous file documentation to determine if reasonable and related to the ongoing claim
Liaison between the client and insurance carrier/TPA
Assist in selection and supervision of defense attorneys
Prepare reports detailing claims, payments and reserves
Prepare and participate in claims reviews
Compliance with Service Commitments as established by team
Multitask between internal RMIS Systems – Carrier/TPA/Peoplease
Performs other duties as assigned within scope of role
Minimum Qualifications (Knowledge, Skills, and Abilities)
3+ years of WC claim experience and/or TPA claims oversight experience required
PEO or Staffing WC claims oversight experience a plus
Additional WC claims management experience in multiple jurisdictions a plus
Ideal candidate will have experience working as a remote employee in a distributed work team
Must be detail oriented
Must be able to meet deadlines
Proficient with Microsoft Office products
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Workers' Compensation Claims Analyst
role at
Peoplease
Peoplease is a leading Professional Employer Organization (PEO) providing solutions to small and medium‑sized businesses in the blue and gray‑collar industries. We enable our clients and partners to achieve their aspirations by offering world‑class service and administrative solutions in payroll, human resources, benefits, and risk management. At Peoplease, we foster a culture of inclusion and belonging, driven by our core values: Engagement, Integrity, Tenacity, Curiosity, Happiness, and a Service‑obsessed mindset.
Position Summary Peoplease is looking for a qualified Workers' Compensation Claims Analyst to join our team. The purpose of the Claims Department is to manage a caseload of complex workers’ compensation insurance claims for our client’s employees. The
Workers' Compensation Claims Analyst
will help the Claims Department by determining compensability, monitoring reserves, and aggressively negotiating settlement of claims. Additionally, this position is accountable for the quality of claim services as perceived by Peoplease clients and within our corporate claim standards.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Duties and Responsibilities
Manage a caseload of WC claims in multiple jurisdictions which may be outside the assigned region
Investigate and monitor claims in accordance with established claims handling procedures using company guidelines
Manage all open work comp claims for assigned multistate territories (Approx. 175‑200 claims) with a mix of Med Only and indemnity/loss time
Give recommendations to carrier/TPA for ways to help lower the cost of the claims as well as getting the claim closed
Handle all litigation requests from attorneys
Review and evaluate settlement authority, reserve requests within assigned authority levels
Assess and monitor subrogation claims for resolution
Delivery of quality claim oversight to clients
Participate in QBR’s and client claim reviews
Guide and educate clients on proper claim reporting
Review medical, legal and miscellaneous file documentation to determine if reasonable and related to the ongoing claim
Liaison between the client and insurance carrier/TPA
Assist in selection and supervision of defense attorneys
Prepare reports detailing claims, payments and reserves
Prepare and participate in claims reviews
Compliance with Service Commitments as established by team
Multitask between internal RMIS Systems – Carrier/TPA/Peoplease
Performs other duties as assigned within scope of role
Minimum Qualifications (Knowledge, Skills, and Abilities)
3+ years of WC claim experience and/or TPA claims oversight experience required
PEO or Staffing WC claims oversight experience a plus
Additional WC claims management experience in multiple jurisdictions a plus
Ideal candidate will have experience working as a remote employee in a distributed work team
Must be detail oriented
Must be able to meet deadlines
Proficient with Microsoft Office products
#J-18808-Ljbffr