Claims Specialist 2026-00254 jobs in United States
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NEOGOV · 11 hours ago

Claims Specialist 2026-00254

The Wyoming Department of Workforce Services is seeking a Claims Specialist to perform case management functions of Workers' Compensation for assigned employer accounts, determine the compensability of cases, and monitor for fraud and improprieties. The role involves guiding customers through the Workers' Compensation benefits program and ensuring effective communication regarding rights and responsibilities.

GovTechHuman ResourcesInformation TechnologySoftware

Responsibilities

Use case management skills to guide customers through the Workers' Compensation benefits program
Review injury reports
Investigate the circumstances of the injury
Make eligibility determinations on the claim for benefits by reviewing applications and medical reports
Process claims for indemnity benefits
Communicate clearly the rights, responsibilities, and benefits of the Workers' Compensation program
Assist injured workers with filing requirements and understanding the complex claims processes
Refer appropriate cases for hearing, and may provide testimony in the hearings
Respond directly to employers or vendors in regard to questions on procedures or the status of cases or claims
Coordinate return to work and work restrictions with healthcare providers and employers
Analyze medical documentation to determine the compensability of claims
Initiate and monitor program requirements and process benefits
Mediate disputes involving injured workers, employers, healthcare providers, and the division
Coordinate with healthcare providers to effectively manage the compensable injury and establish appropriate diagnoses and treatment plans for the injury

Qualification

Workers' Compensation LawCase ManagementMedical TerminologyClaims ManagementCustomer ServiceAnalytical SkillsIndependent Work

Required

Bachelor's Degree
0-1 year of progressive work experience (typically in Benefits and Eligibility)
3-4 years of progressive work experience (typically in Benefits and Eligibility) if education is not met
Knowledge of Workers' Compensation Law and Rules & Regulations
Ability to assist clients in working through complex processes
Ability to work independently
Ability to analyze situations and provide resolutions within the statutes
Knowledge of medical terminology
Knowledge of case management
Knowledge of customer service

Preferred

Claims Management and/or Claims Service experience
Customer Service experience
Bachelor's degree in Management and/or Social Services

Benefits

Culture of public service and a commitment to work/life balance
Eligibility for Public Service Student Loan Forgiveness
Health, Dental, and Vision Insurance
State Retirement plan and additional savings opportunities
Paid vacation, sick leave, and holidays
Comprehensive health coverage – medical, dental, and vision plans for you and your family
Voluntary Benefits – including life insurance for you and family members, ambulance, pet insurance, short/long-term disability, flex spending and health savings accounts
Multiple retirement options – including the Wyoming Retirement System and a 457B account, helping you plan for long-term financial security
Generous paid leave and flexible schedules – vacation, sick leave, paid FMLA and 11 paid holidays each year
Public Service Loan Forgiveness eligibility – for those with qualifying student loans
Training and professional development – to support your career growth and advancement
Employee Assistance Program– Includes paid short-term counseling, legal, financial and work-life benefits and select employee discounts
Wellness Program– Earn paid time off and incentives by focusing on your personal health

Company

NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.

Funding

Current Stage
Late Stage
Total Funding
$700M
Key Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity

Leadership Team

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Shane Evangelist
CEO
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Brandon McDonald
Head Of Marketing
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Company data provided by crunchbase