Claims Examiner - Workers Compensation

MAJOR DUTIES & RESPONSIBILITIES: • Deliver superior customer service and satisfaction through effective interactions with insureds, claimants, agents, underwriters, and others. • Contribute to collaborative environment by consistently demonstrating teamwork, high motivation, behavior and effort to achieve goals and objectives. • Provide accurate and timely expense and loss assessments on Lost Time claims. • Timely and appropriately communicate with internal and external customers relative to account trends, issues, and claim activity. • Consistently demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage, loss assessment, and case management. • Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolutions to assigned claims. • Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines and completion of reporting forms. • Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner. • Provide guidance and direction to team members with the ultimate goal of managing and resolving a claim. **Need to be licensed in Georgia to handle work comp. Florida would be the next most important license, along with SC and NC. MINIMUM REQUIREMENTS: • A personal commitment to superior performance that adds value to our company. • An ability to work effectively with a wide variety of people. • An aptitude for evaluating, analyzing and interpreting information. • Excellent organizational skills a must. • The ability to multi-task along with proven time management and organizational skills. • An ability to work well in teams. • Demonstrated critical thinking and decision making ability. • Excellent verbal and written communication skills. • EDUCATION/EXPERIENCE: o Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date. o Bachelor's Degree or equivalent experience preferred. o Minimum of 3 years of Workers Compensation claim handling required.o Adjuster's license to handle Workers Compensation claims is required and/or must be obtained immediately after hire date. o Bachelor's Degree or equivalent experience preferred. o Minimum of 3 years of Workers Compensation claim handling required.

Created: 2026-04-02