<p>What You'll Do:</p> <p>Investigation & Compensability</p> <p>Conduct thorough investigations and determine compensability on claims with uncertain or questionable factors</p> <p>Leverage additional investigative resources when needed</p> <p>Resolution Strategy</p> <p>Design and implement strategies for optimal claim resolution</p> <p>Weigh options and consult your manager when necessary to determine the best course of action</p> <p>Disability & Medical Management</p> <p>Proactively return injured workers to safe, appropriate work</p> <p>Ensure medical treatment is appropriate and causally related to the accepted injury</p> <p>Use your knowledge of medical terminology and procedures to engage resources when necessary</p> <p>Settlement & Litigation</p> <p>Evaluate and negotiate moderate dispute claims to settlement</p> <p>Handle litigated claims with minor issues and consult on litigation strategy as needed</p> <p>Compliance & Financial Management</p> <p>Follow Claims Quality Guidelines, handling instructions, and all applicable regulations</p> <p>Maintain required licenses in good standing</p> <p>Accurately reserve and issue timely payments, projecting benefits including scarring and loss of use</p> <p>Consider Medicare and other exposures early in the life of the claim</p> <p>What You'll Bring:</p> <p>Bachelor's degree or 3-5 years of relevant workers' compensation claims experience</p> <p>Understanding of WC law, claim procedures, and medical treatment guidelines</p> <p>Tech-savvy with proficiency in Microsoft Office Suite</p> <p>Strong communication and decision-making skills</p> <p>Empathy, professionalism, and a customer-first mindset</p> <p>Why Work Here:</p> <ul> <li>Competitive Salary along with a broad range of compensation initiatives. </li><li>Comprehensive health plans, life insurance, and wellness programs. </li><li>Generous vacation time, plus telecommuting and flexible schedule options. </li><li>Retirement savings plan and 401(k) educational programs. </li><li>Access to learning and development opportunities for professional growth. </li><li>A friendly and supportive atmosphere where teamwork and knowledge sharing are prioritized. </li><li>Work-family balance supported through flexible arrangements. </li><li>Dedication to the health and wellness of our employees-Beacon is a proud recipient of multiple Worksite Wellness Awards. </li><li>Beacon is an equal opportunity employer. We believe that fostering a lasting culture of inclusion and belonging is the most effective way to attract, develop, and retain a diverse workforce. </li></ul>