MI & MN Licensed Claims Examiner

Job Summary

A company is looking for a Workers Compensation Claims Examiner III.

Key Responsibilities

• Manage a caseload of up to 150 workers' compensation files, including complex claims
• Determine compensability of claims and administer benefits according to state law and company guidelines
• Communicate with claimants, providers, and vendors regarding claims issues and maintain accurate case documentation

Required Qualifications

• High School Diploma or GED; Bachelor's degree in a related field preferred
• Three or more years of related experience or equivalent combination of education and experience
• Must possess MI & MN Workers' Compensation Adjuster's license
• Technical knowledge of statutory regulations and medical terminology
• Proficiency in Word and Excel preferred