Claims Examiner II

Our examiners are trusted professionals who are supported in doing meaningful work that makes a difference for injured employees and the employers who rely on us. Good communication skills and ability to communicate effectively with claimants, employers, physicians, nurses, insurance agents, and attorneys.

Benefits:

• Health insurance
• Opportunity for advancement
• Paid time off
• Vision insurance
• 401(k) matching
• Competitive salary
• Dental insurance
• Company parties

Purpose:

Employer's Claim Management is in the business of helping people.  We help employees that have been injured by a work-related accident.  We help employers by promoting workplace safety in their business.  We believe that we are stronger when we work together. We work together each day to challenge and help each other be better.  We aim to serve claimants, employees and each other.  Above all we want to have a positive impact on those that we meet and serve each day.  We believe that together we can make a difference. If you want to make a difference join the team at Employer's Claim Management.
                                                       
 Description:
 We serve Alabama employers with a focus on professionalism, responsiveness, and sound claim handling. We are seeking a Workers' Compensation Claims Examiner II who is motivated, detailed-oriented and enjoys serving others.
 
This role is ideal for someone who enjoys building relationships, continuous learning, is inquisitive, enjoys a team environment and is interested in developing a career in claims.

Three years of prior claims experience is required. We provide structured training and mentorship to support your development and growth in your claims handling career.


Qualifications:

• Three years of Alabama workers' compensation claims handling experience is desirable.
• Knowledge of Alabama Workers' Compensation law and proven experience applying the law to claims.
• Good working knowledge of medical and legal terminology related to workers' compensation.
• Ability to analyze complex information, evaluate exposure, and make informed decisions regarding compensability, benefits, and settlement.
• Excellent verbal and written communication skills.
• Good communication skills and ability to communicate effectively with claimants, employers, physicians, nurses, insurance agents, and attorneys.
• Strong interpersonal skills and the ability to work collaboratively within a team environment. 
• Demonstrated time management and organizational skills with the ability to manage multiple claims efficiently. 
• Proficiency with Microsoft Office products and claims management technology.
• Self-motivated professional who values accuracy, accountability, and continuous learning.

Key Responsibilities:

• Develop professional relationships with claimants, employers, medical providers, attorneys, and vendors.
• Independently manage a full caseload of Alabama workers' compensation claims from inception through resolution.
• Conduct thorough investigations to determine compensability and identify potential defenses.
• Establish, review, and maintain appropriate claim reserves. 
• Calculate and issue workers' compensation indemnity and medical benefit payments accurately and timely.
• Maintain regular communication with employers, providing clear status updates and strategic recommendations.
• Personal visits to claimant as necessary on catastrophic or other complex claims.
•  Coordinate and collaborate with nurse case managers, investigators, and other outside vendors as needed.
• Negotiate and resolve claims within assigned authority.
• Work closely with legal counsel on litigated claims, including discovery assistance, strategy development, and resolution planning.
• Travel to mediations, depositions, trails, meetings with employers/medical vendors and to workshops/seminars as necessary.
• Ensure complete, accurate, and timely documentation of all claim activity in the claims management system.
• Serve as a resource to team members by sharing expertise and best practices as needed.  

Compensation:

We provide a competitive compensation and benefit package including medical, dental, vision, short-term disability, long-term disability and life insurance.  Also, provided is company matched 401(K), flex spending account, personal time off and medical days.

Our Culture:

We believe great claims handling starts with people.  We value teamwork, mutual respect, accountability, and continuous improvement. Our examiners are trusted professionals who are supported in doing meaningful work that makes a difference for injured employees and the employers who rely on us.   



EEO Statement
It is the policy of Employer’s Claim Management, Inc. (ECMI) to provide equal opportunity to all its employees and applicants. The company will not discriminate or permit discrimination against any applicant or employee on the basis of age, race, color, sex, sexual orientation, gender identity, handicap, religion, national origin, disability, veteran or disability status, political affiliation or any other reason prohibited by law. This applies to all terms and conditions of employment including but not limited to hiring practices, work environment, job status, compensation, benefits, advancement opportunities, and termination.

Flexible work from home options available.