Claims Representative (Workers Comp)

Key Responsibilities

• Manage workers’ compensation claims with timely investigations and financial accuracy
• Ensure proper benefit oversight, claim disposition, and compliance with statutory guidelines
• Collaborate with professionals such as doctors, nurses, attorneys, and regulators
• Build and maintain strong customer relationships
• Analyze data to support informed claim decisions
• Perform accurate calculations of disability benefits and financial exposure
• Use technology to improve efficiency and accuracy in claim handling
• Maintain professionalism and diplomacy in all interactions
• Support a collaborative, inclusive, and high-performance work environment
• Promote continuous improvement

Claim Representative – Qualifications

• Experience in workers’ compensation claims preferred
• High school diploma required; bachelor’s degree preferred
• Strong customer service orientation
• Excellent organizational and time management skills
• Proficiency in MS Office (Word, Excel, Outlook, PowerPoint)
• Strong communication and negotiation skills
• Ability to work in a fast-paced, team-oriented environment
• Adaptability to evolving workflows and technologies
• Strong written and verbal communication skills
• Demonstrated empathy and active listening
• Ability to manage multiple priorities and meet deadlines

Senior Claim Representative – Qualifications

• 2+ years of workers’ compensation claims experience required
• State adjusting license/certification as required
• Strong interpersonal and customer service skills
• Proven high performance and achievement
• Excellent communication and time management skills
• High school diploma required; bachelor’s degree preferred

Additional Details

• Hybrid or remote work options available
• Candidates near office locations (Hartford, CT; Lake Mary, FL; San Antonio, TX; Naperville, IL; Scottsdale, AZ) are expected to work onsite Tuesday–Thursday
• Remote employees may be required to visit the office as needed
• Must obtain and maintain a State Adjuster’s License within 1 year of hire

Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies. We are the staffing arm of the Pride Global network, a minority-owned integrated human capital solutions firm, with additional offerings in vendor management, payroll programs, and business process optimization. Applicant Privacy Disclosure: We collect personal information from applicants during the recruiting, pre-offer, and offer process. During the recruiting, pre-offer process and offer process, we may collect the following categories of personal information: Identifiers, such as name, address, and email address. Professional and Employment-Related Information, such as resume, work history, education, and qualifications. Information Voluntarily Provided by You in connection with the recruiting and pre-offer process. Sensitive Personal Information, where legally permitted and necessary, such as Social Security number and date of birth. Personal information is collected and used for the following business purposes: evaluating qualifications and eligibility for employment; communication regarding the recruitment and application process; verifying eligibility for employment; and complying with applicable legal, regulatory, and contractual obligations. Personal information is collected and used only as necessary, and we are committed to data minimization, privacy, and providing equal employment opportunities. We are an international organization, and personal information may be accessed or processed by authorized personnel or service providers located outside the United States, subject to appropriate safeguards. We restrict use and access to personal information to authorized personnel and service providers with confidentiality and data security obligations. We maintain administrative, technical, and physical safeguards designed to protect personal information from unauthorized access, use, or disclosure. For information about our privacy practices, please review our Privacy Policy at: https://prideglobal.com/privacy-policy If you do not consent to the co