Workers' Compensation Claim Representative II - Eastern Alliance
$57,575–$95,008 year
Hybrid · Lancaster, Pennsylvania, United States or Wexford, Pennsylvania, United States
Job Summary
Hybrid Workers' Compensation Claim Representative II role accountable for managing workers' compensation claims with medical and lost-time components, including verifying coverage, investigating, determining compensability, maintaining reserves up to $50,000 (as applicable), and coordinating with injured workers, agents, customers, and co-workers. Responsibilities emphasize proactive claim management, timely information gathering, compassionate communication, subrogation potential identification, and adherence to Return to Wellness philosophy; requires collaboration with agents, risk managers, and underwriters to support return-to-work guidelines. Position salary range $57,575.00 - $95,008.00; location options Lancaster, PA or Wexford, PA with hybrid work (roughly 2 days per month in office). Includes assessment components as part of the recruitment process.
Required Qualifications
- Bachelor's degree preferred; HS Diploma/GED with eight years of experience can replace the degree requirement
- Basic knowledge of medical terminology and procedures
- Some knowledge of applicable state laws and industry standards
- Proficiency in Microsoft Office (Word and Excel) and ability to learn new software
- Attention to detail, time management, and ability to manage multiple priorities
- Excellent written and verbal communication; confidentiality
- Ability to attend insurance and industry functions; professional demeanor
- Strong analytical and problem-solving skills
- Empathy and customer-focused communication
- Ability to establish reserves and manage claims with authority limits
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