Workers' Compensation Claims Representative

Job Details

Workers' Compensation Claims Representative

Pensacola, Florida



Direct Placement

Job Description

LandrumHR is in need of full-time Workers’ Compensation Claims Representative to join their team. This position handles various facets of Workers’ Compensation Claims and medical case management.


You Enjoy:

* Responsible for taking calls from PEO & WFS clients/employees reporting new injuries and directing medical care if appropriate.

* Determines compensability of claim and coordinates medical appointments/referrals for injured employees.

* Manages Medical Only WC claims - by maintaining rapport through phone contact, meetings and correspondence with injured employees, physicians, adjusters, rehabilitation providers, physical and occupational therapists, and employers, when needed.

* Assists employee/employer/physician with stay or return to work efforts including work-related restrictions.

* Prepares online First Report of Injury for respective insurance company within 2 days from report to LandrumHR.

* Updates / maintains accurate claim information in LandrumHR CRM database, which includes: correspondence, medical treatment notes, future appointments and return to work status.

* Ensures claimants are following up with requisite medical treatment / appointments.

* Obtains and Reviews Injury / Incident & Investigation Report.

* Responsible for reviewing monthly loss run reports (PMA & Liberty Mutual) for accuracy to ensure claim closure in a timely manner.

* Provides updates on select open claims at monthly meetings.

* Prepares Certificates of Insurance for Workers’ Compensation Insurance as requested.

* Reviews Post Job Offer Medical questionnaires to identify concerns pertaining to noted limitations and job description.

* Provides administrative support as needed to the Risk Management team.  


You Have:

*Minimum of an Associates Degree and 2 years of WC Claims experience or related insurance / claims management experiences.  

*Must have a minimum of 3 years of experience in WC Claims management, and knowledge of, Florida’s Workers’ Compensation Law, if no college degree.

*Knowledge of OSHA regulations particularly record keeping is preferable.   

*No license or certification is required, but would be beneficial.    


Compensation and Schedule

*This position is full-time and the pay depends on experience.   

*Hours are Monday through Friday from 8:00 a.m. to 5:00 p.m.


Does this job sound like a perfect match for your personality, skills and previous experience? Apply today!

If selected to continue to the next step in the hiring process, an HR Specialist will contact you.




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