Remote Workers' Compensation Claims Specialist

Position Overview

Are you committed to supporting employees during challenging times while navigating intricate insurance procedures? As a Remote Workers' Compensation Claims Specialist, you'll be a crucial advocate for injured workers, offering them clarity, efficiency, and compassion. This position blends deep knowledge of claims management with human-centered communication in a flexible, forward-thinking remote setting. The role offers an annual salary of $63,658 and invites professionals to make a meaningful impact while advancing their careers.

Key Responsibilities

Claims Handling and Investigation

Conducting Investigations

• Promptly initiate comprehensive inquiries into workplace incidents.
• Examine relevant reports, medical records, and testimonies to determine claim accuracy.

Analyzing and Recording Information

• Assess coverage terms, legitimacy, and potential discrepancies or misuse.
• Maintain accurate and up-to-date digital records using industry-standard software.

Stakeholder Communication and Support

Claimant and Partner Interactions

• Act as a primary liaison for injured employees, physicians, and attorneys.
• Convey process steps, required documentation, and benefits timelines.

Internal Collaboration

• Work with internal teams to coordinate care plans and resolution strategies.
• Keep claimants informed with progress updates and guidance throughout.

Compliance and Documentation

Regulatory Compliance

• Align all procedures with national and state-level workers' compensation standards.
• Draft and maintain legal forms, reports, and claim settlements.

Confidential Case Management

• Organize third-party evaluations as needed and track treatment adherence.
• Uphold strict data security and employee confidentiality protocols.

Work Environment

This role is fully remote, offering autonomy and flexibility while emphasizing team connectivity. You'll work from your preferred location, participating in regular virtual huddles, secure video meetings, and cloud-based systems that support collaboration and compliance.

Expect a structured workload managed through intuitive digital dashboards. Our onboarding process ensures you're equipped with everything you need to succeed from day one.

Tools and Technology

Your workflow will be supported by robust digital platforms, including:

• Advanced claims software like Origami Risk or Guidewire
• Encrypted file sharing and cloud storage solutions
• Platforms for remote meetings (Zoom, Google Meet)
• Real-time communication apps such as Microsoft Teams
• Analytics dashboards for performance tracking and trend analysis

Comfort with digital tools is essential for achieving prompt and accurate resolutions.

Qualifications and Requirements

Required Skills and Background

Minimum Expectations

• At least 2 years in workers’ compensation claims or similar roles
• Proficient understanding of workers’ comp regulations, codes, and workflows
• Clear, empathetic, written, and verbal communication abilities

Key Strengths

• Strong analytical capabilities with good decision-making judgment
• Ability to manage a remote workload independently and efficiently

Preferred Credentials

Certifications

• Recognized credentials like CPWC or WCCP are highly valued
• Knowledge of multi-jurisdictional claims policies

Technical Experience

• Background working with remote teams or digital-first companies
• Familiarity with injury coding (ICD), compliance tracking, and OSHA standards

Career Development and Growth Opportunities

Your long-term success is a priority we actively support. In this role, you'll benefit from:

• Sponsored certifications and industry workshops
• Peer mentorship and leadership shadowing opportunities
• Leadership pathways into analyst, training, or audit roles
• Transparent career progression supported by goal-based evaluations

Your contributions help reinforce ethical, efficient, and compassionate claim management across our growing national network.

Why Join Us?

• 100% remote work with performance-focused autonomy
• Join a culture that values teamwork, impact, and inclusion
• Positively influence the recovery experience of injured employees
• Earn a competitive salary plus potential performance bonuses
• Be part of a progressive organization dedicated to excellence in claims resolution

We believe in more than just processing cases—we believe in guiding people through one of their most vulnerable life moments with care and accuracy. If you're a resilient, detail-oriented professional who thrives in a digital-first space, this role was made for you.

Take the Next Step

Do you want to make a meaningful impact while building your career remotely? Apply today and become part of a people-first team that values your expertise, integrity, and drive to do the right thing.

Let’s move forward—together.