Lost Time Claims Specialist – Workers' Compensation

Encova Insurance

. Manage indemnity and medical workers’ compensation claims from investigation through cost-effective conclusion .

Posted 9/16/2026full-timeRemote • Connecticut • United StatesMid-LevelSenior💰 $55,132 - $110,642 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing workers' compensation claims, including evaluating claims, determining compensability, and negotiating settlements. Proficient in collaborating with various stakeholders to facilitate effective claim resolutions and promote quality care for injured workers.

Highest-signal resume keywords

Workers' Compensation Claims ManagementClaims Litigation ProcessAnalytical SkillsStrong Communication SkillsWorkers' Compensation Adjuster License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims EvaluationSettlement NegotiationSubrogation RecoveryCost ManagementClaims Practices and Laws

Soft Skills

Problem-SolvingTime ManagementTeam CollaborationRelationship BuildingMultitasking

Tools & Technologies

Claims Management SystemsMicrosoft Office SuitePaperless Environment

Certifications & Qualifications

Workers' Compensation Adjuster License

Industry Keywords

Indemnity ClaimsMedical ClaimsReturn-to-Work StrategiesCourt ProceduresState Statutes

About the role

Key responsibilities & impact

Manage indemnity and medical workers’ compensation claims from investigation through cost-effective conclusion
Evaluate claims and establish action plans for medical and indemnity benefits
Determine compensability, benefit eligibility, claim outcomes, reserves and settlement strategies
Gather facts through interviews and recorded statements
Identify and pursue subrogation recoveries
Consult with claim directors, return-to-work specialists, nurse case managers, medical professionals and legal counsel
Collaborate with injured workers, employers, counsel and healthcare professionals to manage costs and promote quality care
Facilitate injured workers’ safe and timely return to work
Manage claims litigation, expenses and panel counsel
Analyze reports from physicians, attorneys and vocational rehabilitation experts
Evaluate and negotiate claim settlements
Present claim details at internal team staffing and provide guidance
Participate in claim reviews, onboardings and policyholder/agent meetings
Develop presentations for special projects, meetings and conferences
Collaborate with policyholders to align objectives and foster continuous improvement

Requirements

What you’ll need

Three years of experience in the field of workers’ compensation insurance required
Ability to manage claims through the litigation process
Experience in workers’ compensation claims practices and laws, court procedures, precedents and state statutes
Bachelor’s Degree from an accredited college or university is preferred
One valid workers’ compensation adjuster license is strongly preferred
Must be eligible to obtain additional licenses as required
Must pass the claims adjuster license exam(s) as assigned within 90 days of being hired
Preference may be shown to candidates with multiple state claims management experience
Ability to use logic and sound reasoning to identify alternative solutions for problem-solving
Strong written and verbal communication skills
Strong analytical skills
Ability to multitask and manage time effectively and productively
Ability to work effectively independently and in a team environment
Ability to develop and maintain strong internal and external relationships
Ability to work effectively in a paperless environment
Skilled in the use of laptops, claims management systems, and Microsoft Office suite
Must reside and work within one of Encova’s eligible U.S. states

Benefits

Comp & perks

Bonus / company incentive bonus program
Health insurance
Dental insurance
Vision insurance
Company-provided life and income protection plans
401(k) retirement plan with 100% company match up to 7% of annual salary
Paid time off
Paid holidays
Floating holidays
Flexible work arrangements, including hybrid and remote depending on the role