Claims Specialist II, Workers Compensation

Investigate and manage medical and/or loss-of-time workers’ compensation claims across multiple states to determine compensability and benefits. Establish timely case reserves, negotiate settlements, and coordinate return-to-work efforts with customers, injured workers, and medical providers. Handle notices, third-party recoveries, litigation support, and Medicare-related reporting obligations. Partner with SIU and Subrogation to identify fraud opportunities while delivering exemplary customer service and maintaining claim documentation in the claims system.