Claims Representative

Job Title: Claim Representative, Workers’ Compensation
Location: Alpharetta, Georgia

About the Role:
As a Claim Representative, you will be responsible for handling workers’ compensation medical-only claims. This includes managing claims from initiation to resolution, collaborating with customers and medical providers, and ensuring fair and equitable outcomes throughout the process.

Key Responsibilities:

- Manage workers’ compensation medical-only claims from setup to closure
- Communicate with insured parties, claimants, and medical providers
- Investigate claims and manage medical treatment
- Prepare reports and keep claim files updated
- Set and adjust claim reserves as needed
- Ensure compliance with state regulations
- Refer claims for subrogation when needed
- Collaborate and provide excellent customer service throughout the process

Why Join Us?

- On-the-job training provided
- Fast-paced, supportive team environment
- Opportunity to grow your career in insurance

What We’re Looking For:

- Bachelor’s degree preferred
- Strong communication and organizational skills
- Ability to multitask and meet deadlines
- Team player with good decision-making skills
- Proficient in Microsoft Office
- Experience in claims or insurance is a plus, but not required (training provided)
- Eligible to obtain claim adjuster licenses in GA, FL, NC, SC, WV, and DE within 90 days of hire
- Knowledge of medical terminology or bill processing is a plus