Workers Comp Claims Specialist

The Workers Comp Claims Specialist manages complex workers’ compensation claims with a focus on timely, effective, and cost-conscious resolution.
You’ll oversee a portfolio of legacy and multi-jurisdictional claims while developing strategies based on injury characteristics, jurisdiction, and claimant circumstances.
The role combines claims expertise, risk analysis, stakeholder management, documentation, and sound decision-making.
You’ll work closely with third-party administrators, adjusters, nurse case managers, attorneys, and internal teams to monitor reserves and drive claims toward closure.
Your work will directly support risk-management objectives by helping control financial exposure and improve claims outcomes.
The environment is fast-paced and collaborative, with an emphasis on customer service, adaptability, accountability, and continuous improvement.
This is a fully remote U.S. position offering comprehensive benefits and opportunities for professional growth.

• High school diploma or GED required; an Associate’s or Bachelor’s degree is preferred.

• Experience in workers’ compensation, risk management, insurance, claims, or a related field is strongly preferred.

• Previous experience in the staffing industry is preferred.

• Bilingual English/Spanish skills are preferred.

• Strong knowledge of claims processes and the ability to manage complex or multi-jurisdictional matters is valuable.

• Strong analytical and problem-solving skills, with the ability to evaluate multiple options and determine appropriate courses of action.

• Sound judgment and decision-making skills, particularly when balancing financial exposure, risk, competing priorities, and claim resolution objectives.

• Excellent written and verbal communication skills, with the ability to adapt communication to different internal and external audiences.

• Strong customer-service orientation and the ability to establish productive, sustainable professional relationships.

• Proficiency with Microsoft Word, Excel, and Outlook, along with the ability and willingness to learn new systems and technology platforms.

• Strong organizational and time-management skills, with the ability to manage multiple claims, deadlines, and priorities effectively.

• Adaptability and a willingness to learn new concepts in a fast-paced and continuously changing environment.

• High level of integrity, professionalism, discretion, and ethical judgment.

• Ability to remain composed and diplomatic when handling challenging or sensitive situations.

• Results-oriented approach with a strong commitment to accountability and timely execution.