Claims Representative
Louisiana Workers' Compensation Corporation - LWCC - Baton Rouge, LA

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LWCC is Louisiana's largest workers' compensation carrier, providing coverage to approximately 16,500 policyholders. We are a private, nonprofit mutual insurance company that revitalized a workers' comp system on the verge of collapse and have continued to provide much-needed stability in Louisiana. LWCC carries an "A" (Excellent) rating from A.M. Best.

Department: Risk Management Services/Claims
FLSA Classification: Exempt

Primary Objective:

Investigates, evaluates, and handles assigned workers' compensation claims through final disposition in accordance with company procedures.

Major Areas of Accountability:

  • Investigates assigned claims following sound claim handling techniques in accordance with company claim philosophy and quality assurance standards.
  • Determines proper jurisdiction and classifies each claim under state, federal or maritime class codes.
  • Confirms coverage, compensability and subrogation potential on every claim.
  • When applicable, negotiates settlements of Jones Act and/or employers liability claims within authority level.
  • Documents claim files with necessary information to confirm all claim issues.
  • Provides appropriate level of service to agents and policyholders.
  • Complies with all customer service standards. Responds promptly to resolve complaints or claim problems.
  • Manages personal claim caseload effectively and in accordance with productivity and claim cost objectives.
  • Performs other job duties as dictated by office circumstances.

Education and Experience Required:

  • Bachelor’s degree and a minimum of 2 years handling of workers’ compensation claims or 4 years of experience as an insurance claims adjuster

OR

  • High School Diploma/GED with 2 years handling of workers’ compensation claims and 4 years experience as an insurance claims adjuster.

Skills Required:
Communication, computer literate, math, judgment and problem solving skills

LWCC offers an excellent benefits package including health, dental, life, and disability insurance, a 401(k) savings plan, educational assistance, and an on-site fitness center.