OpTech · 3 days ago
Indemnity Claims Specialist (NO C2C)
OpTech is a woman-owned company seeking experienced Workers' Compensation Indemnity Claims Specialists to manage a complex claims desk. The role emphasizes handling indemnity and litigated claims while collaborating with internal and external stakeholders to ensure compliant outcomes.
Responsibilities
Manage a caseload of approximately 135 open indemnity and complex workers’ compensation claims , including lost-time files
Handle a desk that is at least 50% litigated , working closely with defense attorneys
Demonstrate strong working knowledge of Kentucky & Indiana Workers’ Compensation regulations and practices
Apply Michigan and Illinois jurisdictional knowledge as required by assigned files
Investigate claims, determine compensability, establish reserves, and manage ongoing exposure
Coordinate medical care, wage loss benefits, and return-to-work efforts
Communicate effectively with all stakeholders, including attorneys, injured workers, employers, carriers, and medical providers
Utilize claims management systems to document activity, manage workflows, and meet service expectations
Adhere to quality standards, production benchmarks, and client service level agreements (SLAs)
Participate in internal reviews, audits, and performance evaluations
Qualification
Required
2–3 years of workers' compensation claims experience indemnity and lost-time claims
Extensive Kentucky and Indiana workers' compensation experience required
Illinois claims experience required
Prior experience handling litigated claims is required
Proficiency in Microsoft Office (Teams, Outlook/Email, Word)
Strong documentation, organization, and time-management skills
If you reside in IL: You must have an Experienced Examiner Certification
All qualified applicants MUST be a Licensed Claims Adjuster for all of the following states: MI, IN, KY
A reciprocal state license will be considered-such as FL or TX
Preferred
Michigan experience preferred and may be eligible for additional consideration
Experience using CareMC claims system preferred (not required)
Benefits
Health and dental benefits
Training opportunities
Flexible/remote work options
Growth opportunities
401K
Competitive pay
Company
OpTech
OpTech is a professional services firm providing IT, engineering, healthcare and financial services to Fortune 500 and Government clients.
Funding
Current Stage
Growth StageRecent News
Company data provided by crunchbase