Litigated Claims Specialist

Litigated Claims Specialist Working as part of the Claims Department, the Litigated Claims Specialist applies knowledge of workers' compensation laws, regulations, and jurisdictional requirements to investigate, manage, and resolve disputed claims. This role partners closely with internal teams, attorneys, and insurance adjusters to drive timely reimbursement and support positive claim outcomes. What You’ll Do Investigate and resolve partial payments and outstanding balances on claims in litigation Secure payment on outstanding invoices through research, follow-up, and coordination with external parties. Review and analyze litigated claims to identify issues, opportunities, and appropriate next steps. Assess current and ongoing risk related to medication services impacted by active litigation. Research claim information, documentation, and legal updates to support claim resolution. Communicate and collaborate daily with internal departments to ensure timely claim processing. Serve as a point of contact for attorneys, adjusters, and other external stakeholders. Obtain and review medical documentation necessary to support collection and reimbursement efforts Analyze claim data and supporting documentation to make informed decisions and recommendations. Contribute to the development and improvement of team processes, procedures, and best practices. Participate in special projects and other duties as assigned. Ability to work a full-time schedule: Monday to Friday 9:00-5:30pm What You'll Need to Succeed 3+ years of workers' compensation claims experience, including exposure to litigated claims preferred. Strong analytical, problem-solving, and organizational skills. Proficiency with Microsoft Office applications, including Excel and Word. Ability to interpret claim documentation, legal correspondence, and reimbursement-related information. Strong written and verbal communication skills. Experience working with attorneys, adjusters, or other claims stakeholders preferred. Knowledge of pharmacy or medical reimbursement processes preferred. Why You'll Love Working at IWP Our culture is built on our ICARE values: Ingenuity, Collaboration, Advocacy, Respect, and Empowerment. These values guide how we support our patients — and how we support each other. We offer: Monthly engagement events and larger annual celebrations (tent party, summer BBQ, Family Fun Day) Tuition reimbursement and an internal-first job posting philosophy to support career growth Competitive benefits package A positive, inclusive environment where employees feel valued, supported, and empowered Make A Difference With IWP Injured Workers Pharmacy (IWP) is proud to be THE Patient Advocate Pharmacy, helping injured workers around the country access their prescription medications with ease. As a specialized workers’ compensation home delivery pharmacy, we collaborate with the legal, medical, and insurance communities to help injured workers return to a productive life. At IWP we believe in our service, but it’s the people who make it a great place to work. We value our employees and strive for a culture of teambuilding, open mindedness, and fun. If that sounds like something you’d like to be part of, we’d love to hear from you! Your compensation will include a competitive salary, generous benefits, and opportunities for growth and development. IWP is an Equal Opportunity Employer. IWP does not discriminate on the basis of race, creed, color, religion, national origin, sex, sexual orientation, gender identity, age, physical or mental disability, or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications, merit, and business need. IWP is committed to providing reasonable accommodations for qualified individuals with physical and mental disabilities in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at humanresources@IWPharmacy.com We will make a determination on your request for reasonable accommodation on a case-by-case basis. We are dedicated to attracting and retaining top talent with competitive and fair compensation. The salary range for this role is $24/hr - $27/hr.