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