Source Job

US Unlimited PTO

  • Translate deep Workers' Compensation claims expertise into product requirements, workflows, and decision frameworks.
  • Map the claim lifecycle to identify friction points and improve claim outcomes through better data and automation.
  • Partner across Product, Engineering, and Operations to align teams around quality and drive measurable product improvements.

Workers' Compensation Claims Management Data Analysis Cross-functional Collaboration

10 jobs similar to Product Subject Matter Expert for Workers' Compensation

Jobs ranked by similarity.

US

  • Independently manage a caseload of California workers' compensation claims from assignment through resolution.
  • Investigate claims, evaluate compensability, and develop claim resolution strategies while ensuring compliance with California regulations.
  • Coordinate with defense counsel, medical providers, and employers to manage litigation and negotiate settlements.

Acrisure is a global fintech leader providing customized insurance, reinsurance, payroll, benefits, and cybersecurity solutions. With nearly $5 billion in revenue and over 19,000 employees across 20+ countries, the company fosters an entrepreneurial culture emphasizing leadership and collaboration.

Global

  • Analyze and process workers compensation lost-time claims, investigating to determine benefits and exposure.
  • Negotiate settlement of claims within designated authority and communicate with claimants and clients.
  • Report claims to excess carrier and respond to requests in a professional and timely manner.

Sedgwick is the world’s leading risk and claims administration partner, helping clients navigate the unexpected with advanced AI-enabled technology. With over 33,000 colleagues and 10,000 clients across 80 countries, it offers a caring culture that values work-life balance and professional growth.

Global Unlimited PTO

  • Bridge the gap between commercial property claims handling and product development teams.
  • Map the claim lifecycle to identify friction points and define quality standards.
  • Improve workflows, data capture, and automation while preserving human judgment.

Assured provides large insurers with software solutions for claims processing, from self-service filing to fraud detection. The company is dynamic, collaborative, and rewards employees working on deep technical and domain-specific challenges.

US

  • Manage a caseload of complex workers' compensation cases including litigation and disability.
  • Investigate claims to determine compensability, establish reserves, and manage medical treatment.
  • Collaborate with clients, legal counsel, and healthcare professionals to resolve claims.

Berkley Risk provides program administration and insurance services for self-insured entities. It is a member company of W. R. Berkley Corporation, a Fortune 500 firm, offering a competitive compensation and robust benefits package.

USA Canada Unlimited PTO

  • Oversee Workers' Compensation claims, manage TPA relationships, and analyze loss trends to drive risk mitigation.
  • Lead end-to-end program administration including underwriting operations, policy setup, and compliance.
  • Manage a team of specialists, leverage AI tools, and build a centralized WC knowledge base for operational excellence.

Wrapbook is a smart, intuitive platform that makes production payroll and accounting easier, faster, and more secure, trusted by companies of all sizes. The growing team of 250+ people across the USA and Canada includes entertainment and technology experts, backed by top-tier investors with $130M raised.

US

  • Examines claims data and conducts investigations to determine coverage, compensability, and benefits under moderate supervisory direction.
  • Handles California workers compensation claims, including catastrophic claims with supervisory oversight and litigation management.
  • Coordinates return to work, sets reserves, and reviews medical bills for causal relationship and appropriateness.

Crum & Forster (C&F) provides specialty and standard commercial lines insurance products. With over 2000 employees in the US, they earn recognition as a great place to work with a focus on diversity and inclusion.

US

  • Investigate and adjudicate workers' compensation claims, including medical-only and indemnity claims in MN, as well as Federal and State Black Lung claims.
  • Conduct claimant, employer, and provider outreach, set reserves, deny non-compensable claims, and ensure timely, accurate medical payments.
  • Manage a diary, complete tasks to resolve cases timely, and prepare reports for file documentation.

Argo Group is an underwriter of specialty insurance products in the property and casualty market, offering a full line of products and services for businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc., and the company fosters a collaborative, inclusive work environment that values innovation.

US

  • Represent injured employees in North Carolina workers' compensation claims from initial case handling through litigation and appeals.
  • Manage cases across all phases including pre-litigation, discovery, settlement negotiations, and appeals before the Deputy Commissioner, Full Commission, and Court of Appeals.
  • Draft pleadings, motions, discovery, appellate briefs, and negotiate settlements to secure benefits for clients.

The company is a workers' compensation legal practice representing injured employees across North Carolina. It is a growing firm with a collaborative culture that values advocacy and results.

$90,000–$100,000/yr
US 4w PTO

  • Supervise claim activities to ensure compliance with Corporate Claim Standards, client instructions, and applicable laws.
  • Investigate, evaluate, and adjust assigned claims; set and oversee reserves within authority levels.
  • Negotiate settlements, manage litigated files, and train claim staff to drive excellence and quality.

CCMSI partners with global clients to solve risk management challenges through advanced technology and collaborative problem-solving. As the largest privately owned Third Party Administrator (TPA), CCMSI is a certified Great Place to Work® with employee-owners empowered to grow and collaborate.

California Unlimited PTO

  • Manage a docket of workers' compensation cases to resolution, including preparing clients for depositions and attending them.
  • Respond to client inquiries requiring attorney negotiations and move matters towards resolution with excellent communication.
  • Provide direction and guidance to non-attorneys, lead by example, and bring positivity to the workplace.

Abramson Labor Group is a leading employment and workers' compensation law firm dedicated to advocating for employees' rights. Based in Burbank, CA, our team is committed to providing top-tier legal representation with a client-focused approach, and we foster a dynamic and collaborative work environment where professionals can grow while making a meaningful impact.