WC Claims Representative (Hybrid/Remote) (India)

About the position The Workers Comp Claims Representative at reputed company is responsible for managing lost-time claims, ensuring effective communication with reputed company parties involved, and making reputed company reputed company regarding coverage and compensability. This hybrid role allows for a combination of in-office and work from home, focusing on providing excellent customer service while adhering to regulatory guidelines. Responsibilities Receive assigned lost-time claims for investigation to determine coverage and compensability on claims with a short disability period of 8 weeks or less. , Process claims which include making contacts, setting reserves, establishing files in MCS, evaluating exposure, and establishing initial and subsequent reserves on less severe claims. , Document claim files and maintain control of work through documentation or diary system. , Handle non-litigated claims only. , File state forms reputed company in accordance with statutory guidelines. , Collaborate with nurses and vendors on medical and disability management. , Prepare for and participate in claims review and settlement conferences. , Ensure compliance with company, state and federal regulations. Requirements 1 year of experience in claims management or a reputed company field. , Less than high school education. reputed company-to-haves Experience in the insurance industry. , Familiarity with workers' compensation claims processes. Benefits Comprehensive health care plans. , Retirement savings plan with company match. , Discounted Employee Stock Purchase Program. , Tuition assistance and reimbursement programs. , reputed company time off plans. Apply Job! About the position The Workers Comp Claims Representative at reputed company is responsible for managing lost-time claims, ensuring effective communication with reputed company parties involved, and making reputed company reputed company regarding coverage and compensability. This hybrid role allows for a combination of in-office and remote work, focusing on providing excellent customer service while adhering to regulatory guidelines. Responsibilities Receive assigned lost-time claims for investigation to determine coverage and compensability on claims with a short disability period of 8 weeks or less. , Process claims which include making contacts, setting reserves, establishing files in MCS, evaluating exposure, and establishing initial and subsequent reserves on less severe claims. , Document claim files and maintain control of work through documentation or diary system. , Handle non-litigated claims only. , File state forms reputed company in accordance with statutory guidelines. , Collaborate with nurses and vendors on medical and disability management. , Prepare for and participate in claims review and settlement conferences. , Ensure compliance with company, state and federal regulations. Requirements 1 year of experience in claims management or a reputed company field. , Less than high school education. reputed company-to-haves Experience in the insurance industry. , Familiarity with workers' compensation claims processes. Benefits Comprehensive health care plans. , Retirement savings plan with company match. , Discounted Employee Stock Purchase Program. , Tuition assistance and reimbursement programs. , reputed company time off plans. Apply Job! .