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LWCC · 1 month ago

Claims Representative (Workers' Compensation)

Baton Rouge Metro

Full-time

Hybrid

Entry, Mid Level

2+ years exp

LWCC is a Champion of Louisiana and is dedicated to excellence in execution from underwriting to compassionate care of injured workers. The Claims Representative will handle insurance claims involving work-related accidents, providing exceptional customer service while investigating claims and determining coverage.

Employee BenefitsHealth InsuranceInsurance

Responsibilities

Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents

Is responsible for the well-being of hundreds of Louisiana employees who are injured

Examine claims forms and other records to determine insurance coverage

Interview or correspond with our policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation

Investigate facts of loss to determine extent of injury

Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim

Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies

Negotiate claim settlement opportunities

Confer with legal counsel on claims involving litigation

Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals

Seeks opportunities for improvement and continued learning

Maintains required LA Workers’ Compensation Adjuster License

Performs other job duties as needed by the department

Qualification

Workers' Compensation ClaimsLouisiana Workers' Compensation Adjuster LicenseEffective CommunicationProblem-SolvingComputer LiterateMath SkillsJudgementEmpathetic ListenerCuriousPersistentDecisive