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Claims Specialist

Russell Tobin - Miami, FL

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Job Description

Key ResponsibilitiesManage workers' compensation claims with timely investigations and financial accuracyEnsure proper benefit oversight, claim disposition, and compliance with statutory guidelinesCollaborate with professionals such as doctors, nurses, attorneys, and regulatorsBuild and maintain strong customer relationshipsAnalyze data to support informed claim decisionsPerform accurate calculations of disability benefits and financial exposureUse technology to improve efficiency and accuracy in claim handlingMaintain professionalism and diplomacy in all interactionsSupport a collaborative, inclusive, and high-performance work environmentPromote continuous improvementClaim Representative - QualificationsExperience in workers' compensation claims preferredHigh school diploma required; bachelor's degree preferredStrong customer service orientationExcellent organizational and time management skillsProficiency in MS Office (Word, Excel, Outlook, PowerPoint)Strong communication and negotiation skillsAbility to work in a fast-paced, team-oriented environmentAdaptability to evolving workflows and technologiesStrong written and verbal communication skillsDemonstrated empathy and active listeningAbility to manage multiple priorities and meet deadlinesSenior Claim Representative - Qualifications2+ years of workers' compensation claims experience requiredState adjusting license/certification as requiredStrong interpersonal and customer service skillsProven high performance and achievementExcellent communication and time management skillsHigh school diploma required; bachelor's degree preferredAdditional DetailsHybrid or remote work options availableCandidates near office locations (Hartford, CT; Lake Mary, FL; San Antonio, TX; Naperville, IL; Scottsdale, AZ) are expected to work onsite Tuesday-ThursdayRemote employees may be required to visit the office as neededMust obtain and maintain a State Adjuster's License within 1 year of hireRussell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies. We are the staffing arm of the Pride Global network, a minority-owned integrated human capital solutions firm, with additional offerings in vendor management, payroll programs, and business process optimization.Applicant Privacy Disclosure:We collect personal information from applicants during the recruiting, pre-offer, and offer process.During the recruiting, pre-offer process and offer process, we may collect the following categories of personal information:Identifiers, such as name, address, and email address.Professional and Employment-Related Information, such as resume, work history, education, and qualifications.Information Voluntarily Provided by You in connection with the recruiting and pre-offer process.Sensitive Personal Information, where legally permitted and necessary, such as Social Security number and date of birth.Personal information is collected and used for the following business purposes: evaluating qualifications and eligibility for employment; communication regarding the recruitment and application process; verifying eligibility for employment; and complying with applicable legal, regulatory, and contractual obligations.Personal information is collected and used only as necessary, and we are committed to data minimization, privacy, and providing equal employment opportunities. We are an international organization, and personal information may be accessed or processed by authorized personnel or service providers located outside the United States, subject to appropriate safeguards. We restrict use and access to personal information to authorized personnel and service providers with confidentiality and data security obligations. We maintain administrative, technical, and physical safeguards designed to protect personal information from unauthorized access, use, or disclosure.For information about our privacy practices, please review our Privacy Policy at: you do not consent to the collection of such personal information, please advise us immediately in writing at datasecurity@

Created: 2026-05-09

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