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US Unlimited PTO

  • Manage a caseload of workers' compensation claims from intake through resolution, including lost-time and litigated files.
  • Review and correct AI-generated summaries, chronologies, and risk flags to train the system.
  • Define reserve, compensability, medical management, and return-to-work practices for workflow automation.

Claims Management Written Communication

15 jobs similar to Senior Claims Specialist, Workers' Compensation

Jobs ranked by similarity.

US Unlimited PTO

  • Build and lead the claims operation, including hiring, managing adjusters, and setting quality standards.
  • Own claims outcomes for assigned customers and report on them.
  • Partner with product and engineering on workflow design, automation, and reporting.

Brighterway builds AI-native claims software and administration for casualty claims, starting with workers' compensation medical-legal review. Backed by Y Combinator and Maverick Ventures, the small, technical team ships weekly and works closely with customers.

US

  • Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation medical claims.
  • Review denied or troubled claims, working with employers, insurers, attorneys, and patients to resolve issues.
  • Submit bills and documentation to payers, track payments, and support team special projects for client success.

Revecore helps hospitals recover revenue they've earned through specialized expertise and proprietary technology. Trusted by more than 1,300 hospitals, the company fosters a supportive, innovative workplace where employees are trusted to do their best work.

$68,500–$83,000/yr
US 4w PTO

  • Handle workers' compensation claims from start to finish in accordance with NY, NJ, PA, DE, MD laws and client-specific guidelines.
  • Manage a varied caseload across multiple accounts and industries.
  • Collaborate with attorneys, vendors, and case managers to move claims forward.

CCMSI is one of the nation's largest employee-owned Third Party Administrators, specializing in self-insurance services. As a certified Great Place to Work, we offer a career path in a culture built on integrity, innovation, and collaboration.

US

  • Serve as primary operational contact for clients, managing relationships and service delivery.
  • Monitor operational metrics, resolve escalations, and implement process improvements.
  • Use AI-enabled tools to enhance reporting, analysis, and workflow effectiveness.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective, skill-based reviews. It uses artificial intelligence to streamline the application process and promote fair hiring.

US

  • Manage an inventory of claims to evaluate compensability and liability.
  • Conduct investigations, negotiate settlements, and authorize payments within assigned authority.
  • Maintain detailed claim files and communicate with insureds, claimants, and external partners.

National Interstate, a member of Great American Insurance Group, provides commercial transportation insurance and alternative risk transfer programs across the U.S. The broader group employs over 8,500 people and values integrity, transparency, and collaboration.

US

  • Manage a caseload of lost-time workers' compensation claims across multiple jurisdictions, from evaluation through resolution.
  • Investigate workplace injuries, evaluate compensability, negotiate settlements, and coordinate litigated claims.
  • Collaborate with claimants, attorneys, medical providers, and insured businesses to ensure accurate, fair, and efficient claim outcomes.

This company provides workers' compensation claims management services, handling lost-time claims across multiple jurisdictions. The role is fully remote, emphasizing independent work, sound judgment, and high-quality service.

$60,000–$60,000/yr
US 4w PTO

  • Serve as the operational liaison for incident intake, claim documentation, and insurance carrier follow-up.
  • Support the development of Return-to-Work initiatives and check in with injured educators during recovery.
  • Maintain accurate claims tracking dashboards, OSHA logs, and audit records.

Zen Educate is a technology company that matches schools with temporary educator staff, aiming to reduce fees and help educators earn more. The company is hyperscaling, up 4x year over year, with a collaborative, mission-driven culture focused on caring more.

US

  • Manage an inventory of workers' compensation claims to evaluate compensability and liability.
  • Plan and conduct investigations to confirm coverage, determine damages, and negotiate settlements within authority limits.
  • Maintain detailed claim files, authorize timely payments, and represent the company at arbitrations, mediations, or trials.

National Interstate, a member of Great American Insurance Group, provides commercial transportation insurance and alternative risk transfer programs across all 50 states. Its dedicated team has earned multiple Top Workplace honors, with a culture built on integrity, transparency, collaboration, and employee development.

India

  • Develop complex underwriting and claims scenarios to train AI models for insurance-related applications.
  • Evaluate AI-generated decisions on risk assessment, policy interpretation, and claims adjudication.
  • Work remotely from anywhere in India with flexible scheduling and task-based compensation.

This role is with a partner company developing AI models for insurance applications, using expert input to improve underwriting and claims accuracy. The work is fully remote and project-based, with flexible scheduling and a focus on high-quality independent contributions.

US Unlimited PTO

  • Open insurance claims and serve as the primary liaison with adjusters and carriers.
  • Request, track, and organize medical records, bills, and police reports.
  • Communicate with clients daily to guide them through the pre-litigation process.

EvenUp uses AI and technology to help personal injury lawyers secure faster settlements and better outcomes for victims. It is a fast-growing vertical SaaS company backed by top VCs, with a collaborative and driven culture.

$48,000–$73,000/yr
US 4w PTO

  • Manage the full lifecycle of PIP and Medical Payments claims, from coverage verification and investigation to settlement or denial.
  • Apply medical cost-containment strategies, coordinate experts, and identify subrogation opportunities while meeting compliance standards.
  • Work remotely within the US, maintaining accurate claim files and communicating professionally with claimants and stakeholders.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The partner company is seeking a remote Associate PIP Claims Rep to handle Personal Injury Protection claims across multiple states in a structured, compliance-focused environment.

US Unlimited PTO

  • Serve as the attorney point of contact for injured workers, providing counsel on benefits, treatment, and workers' compensation procedures.
  • Handle client call assignments via Actionstep, prioritizing urgent matters and documenting all interactions.
  • Explain legal concepts in plain language, de-escalate sensitive conversations, and collaborate with case managers.

Abramson Labor Group is a leading employment and workers' compensation law firm advocating for employees' rights. The firm fosters a dynamic and collaborative work environment where professionals can grow while making a meaningful impact.

$70,000–$80,000/yr
Global

  • Own cases from demand letter preparation through payout administration.
  • Review and QA legal materials, flagging inconsistencies before outside counsel.
  • Track case status and drive improvements to Needs Attention workflows.

Chariot Claims is a legal operations company managing mass arbitration cases from demand letters through payout. The team is fully remote and leverages AI tools for efficiency and async communication.

Global

  • Adjust assigned claim files through resolution with high quality, applying coverage and complying with regulations.
  • Communicate with customers via phone, text, email to guide them through the claims process.
  • Write exterior estimates with high accuracy and detail, and issue payments as owed under the policy.

Steadily provides claims adjustment services for insurance, guiding customers through the claims process with empathy and accuracy. They hire top-tier contractors and foster a culture of high performance and teamwork.

California Unlimited PTO

  • Manage a docket of workers' compensation cases from inception to resolution.
  • Prepare clients for depositions, attend depositions, and handle deposition invoicing.
  • Respond to client inquiries and provide direction to non-attorneys to move cases forward.

We are a leading employment and workers' compensation law firm dedicated to advocating for employees' rights, representing workers in discrimination, harassment, wrongful termination, wage disputes, and workplace injuries. Our team is committed to top-tier legal representation in a dynamic and collaborative environment where professionals grow while making a meaningful impact.