• Investigate automobile accidents involving bodily injury • Assess coverage, liability, and damages • Provide exceptional customer service through calls, emails, and texts • Engage in negotiation processes to reach fair settlements • Support claimants throughout the vehicle restoration process

Role Description The Workers’ Compensation Specialist is responsible for administering and coordinating all aspects of the company’s workers’ compensation program. This role ensures timely reporting and management of workplace injuries, facilitates communication among employees, medical providers, insurance carriers, and management, and supports return-to-work initiatives. The specialist works to minimize claim costs while ensuring compliance with federal, state, and company policies. Key Responsibilities - Claims Administration - Manage the full lifecycle of workers’ compensation claims from initial injury reporting through claim closure. - Ensure timely and accurate reporting of workplace injuries to insurance carriers, third-party administrators (TPAs), and regulatory agencies. - Maintain detailed and confidential claim records and documentation. - Monitor claim status and follow up regularly with insurance adjusters and medical providers. - Employee Support and Communication - Serve as the primary point of contact for injured employees regarding workers’ compensation claims. - Educate employees and managers on workers’ compensation processes, benefits, and responsibilities. - Coordinate communication among employees, supervisors, healthcare providers, insurance carriers, and legal representatives. - Return-to-Work Coordination - Manage and administer workers’ compensation leave of absence, return-to-work and modified-duty programs. - Review work restrictions and collaborate with management to identify appropriate accommodations. - Track employee recovery progress and facilitate successful transitions back to work. - Compliance and Risk Management - Ensure compliance with all applicable federal, state, and local workers’ compensation laws and regulations. - Monitor OSHA recordkeeping requirements and assist with injury reporting and documentation. - Maintain workers’ compensation policies and procedures. - Support workplace safety initiatives aimed at reducing injuries and claims. - Reporting and Analysis - Prepare and distribute workers’ compensation reports, claim summaries, and trend analyses. - Track key performance indicators, including claim frequency, severity, lost-time cases, and claim costs. - Identify trends and recommend strategies to reduce workplace injuries and associated costs. - Assist with annual workers’ compensation audits and insurance renewals. - Vendor and Carrier Management - Partner with insurance carriers, TPAs, medical providers, and legal counsel to ensure effective claim management. - Participate in claim review meetings and provide recommendations for claim resolution. - Review invoices and claim-related expenses for accuracy and compliance. Qualifications - Preferred Bachelor’s degree in Human Resources, Business Administration, Occupational Health, Risk Management, or a related field preferred. - Equivalent combination of education and experience may be considered. - 0–3 years of experience managing workers’ compensation claims, leave administration, or risk management programs. - Experience working with insurance carriers, TPAs, and return-to-work programs. - Multi-state workers’ compensation experience preferred. - Strong knowledge of workers’ compensation laws, regulations, and claim management practices. - Understanding of OSHA reporting and workplace safety principles. - Excellent communication, interpersonal, and conflict-resolution skills. - Strong organizational and time-management abilities. - Ability to manage multiple claims and priorities simultaneously. - Proficiency with HRIS systems, claims management software, and Microsoft Office Suite (Excel, Word, PowerPoint). - Ability to maintain confidentiality and exercise sound judgment. Preferred Certifications - Associate in Claims (AIC) - Certified Workers’ Compensation Professional (CWCP) - Professional in Human Resources (PHR) or SHRM-CP - Occupational Safety certifications are a plus Physical Requirements - Ability to sit and work at a computer for extended periods. - Occasional travel to company locations, trials or claim review meetings as needed. Key Performance Indicators (KPIs) - Timely claim reporting and resolution. - Reduction in lost-time incidents. - Return-to-work program effectiveness. - Workers’ compensation claim cost management. - Regulatory compliance and audit results. - Employee satisfaction with claims administration process.

Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Role specifics: - Claims Background: Workers compensation lost time, indemnity claims - Jurisdictional Experience: KY, GA, NC, SC - Active Adjusters' licenses: KY, GA, NC, SC - Location: This role is eligible for fully remote work How you'll make an impact: - Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. - Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. - Provide exceptional customer service to our claimants on behalf of our clients, exhibiting empathy through each step of the claims process. - Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. - Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You: - Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. - Work in partnership with our clients to deliver innovative solutions and enhance the claims management process. - Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants. Qualifications - High School Diploma. - Minimum of 5 years related claims experience. - Appropriately licensed and/or certified in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. Requirements - Bachelor's Degree (Desired). Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more...

• Works closely with veterinary hospitals, and policyholders to evaluate and review a pet’s medical history to determine a baseline of health. • Investigates and processes assigned insurance claims, verifies coverage, and compensation amounts, per insurance policy. • Updates Explanation of Benefits (EOB), pays and closes claim. • May order medical records from providers. • May communicate with clients and providers during treatment. • Performs other duties and responsibilities as assigned.