Workers' Compensation Claims Representative – Midwest

biBerk Business Insurance

. Determine compensability and/or coverage issues for lost-time workers' compensation claims .

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $75,000 - $92,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing lost-time workers' compensation claims, including negotiation, settlement direction, and effective communication with claimants and medical providers. Proficient in evaluating compensability and handling litigation files while maintaining strong organizational and problem-solving skills.

Highest-signal resume keywords

Workers' Compensation Claims ManagementClaims Adjuster DesignationSIP CertificationNegotiation SkillsMedical Terminology Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Lost-Time Claims HandlingCompensability DeterminationSettlement NegotiationLitigation File ManagementClaims Adjustment in Texas

Soft Skills

Organizational SkillsProblem SolvingConflict ResolutionVerbal CommunicationWritten Communication

Certifications & Qualifications

Claims Adjuster DesignationSIP Certification

Industry Keywords

Workers' CompensationCarrier ExperienceOklahoma Claims ExperienceAlaska Claims Experience

About the role

Key responsibilities & impact

Determine compensability and/or coverage issues for lost-time workers' compensation claims
Effectively manage a caseload of lost-time claims from numerous jurisdictions
Negotiate and direct settlements under management's review
Gather medical and factual evidence to determine compensability
Direct outside investigations and handle litigation files within given authority
Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel
Maintain routine contact with insureds, account liaisons, and medical providers

Requirements

What you’ll need

Carrier experience preferred
Experience handling lost time or litigated claims
Familiarity with medical terminology
Strong organizational, problem solving, negotiation, and conflict resolution skills
Excellent verbal and written communication skills
Bachelor's degree and 3+ years of relevant Workers' Compensation claims experience, OR no bachelor's degree required with 5+ years of relevant Workers' Compensation claims experience
Claims Adjuster Designation or SIP Certification required
Experience adjusting claims in Texas required
Experience in Oklahoma and Alaska preferred

Benefits

Comp & perks

Medical (PPO/HDHP), vision, disability, and life insurance
Enhanced dental plan with orthodontia coverage in addition to a standard plan
Generous PTO plan for all benefit-time eligible employees
Paid company holidays and 4 floating holidays
Paid parental leave
Employee Retirement Savings Plan/401(k) with company match and immediate vesting
Education Assistance Program with 100% upfront tuition reimbursement after 6 months of service for approved degree programs
Service Recognition Program with a monetary award toward a vacation every 5 years of employment
Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs
Voluntary accident, critical illness, and hospital indemnity benefits
Employee discount and rewards program on travel, tickets, electronics, home, and more