Workers’ Compensation Claims Examiner

Workers’ Compensation Claims Examiner

Location: Washington, DC
Schedule: Monday–Friday, 8:30 AM–5:00 PM ET
Hours: Up to 40 hours/Week
Work Environment: Office setting

Job Responsibilities:

·       Review and process workers’ compensation claims.

·       Investigate claims and determine eligibility and benefits.

·       Review medical records and claim documentation.

·       Evaluate treatment, work restrictions, and return-to-work options.

·       Communicate with employees, providers, supervisors, and other stakeholders.

·       Maintain accurate claim records and documentation.

·       Manage assigned caseloads and follow required procedures.

·       Prepare claim decisions, notices, and correspondence.

·       Support hearings, mediations, and settlement activities.

·       Protect confidential medical and employment information.

Qualifications:

·       Bachelor’s degree with 2 years of workers’ compensation claims experience, or 8 years of claims experience including 3 years in workers’ compensation.

·       Knowledge of workers’ compensation claims and regulations.

·       Ability to review medical information and make claim decisions.

·       Experience with hearings, mediations, or settlements.

·       Knowledge of medical terminology.

·       Strong communication and analytical skills.

·       Proficiency with Microsoft Office and claims management systems.