Claims Workers Compensation Loss Time Representative (remote)

If you're excited about this role but don’t meet every qualification, we still encourage you to apply! At Grange, we value growth and are committed to supporting continuous learning and skill development as you advance in your career with us.

Summary: This role is responsible for investigating, evaluating and negotiating settlement of WC Loss Time claims while overseeing all vendor and legal activities.

What You’ll Be Doing:

1. Pursuant to WC line of business strategies and good faith claim handling practices; investigates, negotiates and resolve/settle (within authorized limits) assigned claims.
2. Establish and maintain positive relationships with internal and external customers providing excellent customer service to include timely initial and follow up communication. Compliance with all special handling commitments within the Account Stewardship program.
3. Ability to effectively manage litigated and large catastrophic claims.
4. Maintain file notes outlining actions taken and plan of action for future handling.
5. Effectively manage loss severity through utilization of medical cost management resources and pursuit of early return to modified and full duty work.
6. Follow through on all special claim handling agreements for Account Stewardship program.
7. Maintain work activities to ensure proactive claim resolution.
8. Establish appropriate initial reserves and revise consistent with reserve best practices.
9. Timely completion of all required state reporting.
10. Identify, investigate and pursue claims involving subrogation and potential fraud.
11. Manage all vendor activities and expense payments.
12. Maintain current knowledge of Workers’ Compensation laws and claim handling procedures in designated states.

What You’ll Bring To The Company:

• Bachelor's degree preferred.
• Five or more years of multi-state Workers’ Compensation lost time claim handling experience preferred.
• Candidate must possess strong communication, interpersonal and leadership skills.
• Must have thorough understanding of claims handling which includes investigative techniques, loss evaluations, negotiations and settlements.
• Strong organizational skills needed which includes the ability to prioritize and handle multiple tasks.
• Must possess strong analytical and decision-making skills and have the ability to work independently and as a part of a team.
• Professional insurance designation preferred.
• State specific adjusters’ license may be required.

About Us:

Grange Insurance Company, with $3.4 billion in assets and more than $1.61 billion in annual revenue, is an insurance provider founded in 1935 and based in Columbus, Ohio. Through its network of independent agents, Grange offers auto, home and business insurance protection. Grange Insurance Company and its affiliates serve policyholders in Georgia, Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia and Wisconsin and holds an A.M. Best rating of "A" (Excellent).

Grange understands that life requires flexibility. We promote geographical diversity, allowing hybrid and remote options and flexibility in work hours (role dependent). In addition to competitive traditional benefits, Grange has also created unique benefits based on associate feedback, including a cultural appreciation holiday, family formation benefits, compassionate care leave and expanded categories of bereavement leave.

Who We Are:

Grange values all the things that make us unique as human beings. We are committed to creating and supporting a workforce that reflects the richness of our differences by welcoming all backgrounds, viewpoints and lived experiences. To foster an inclusive environment, we are intentional in bringing those differences together for the good of our enterprise, associates, agents, customers and community.

Our Associate Resource Groups help cultivate an inclusive workplace while providing professional and personal growth opportunities. Open to all associates, these voluntary groups celebrate shared experiences and perspectives across ethnicity and race, nationality, generation, gender identity and sexual orientation. Our groups include the Multicultural Professional Network, Pride Partnership & Allies, Women's Group and Young Professionals.

Established in 2016, our Inclusive Culture Council advances professional development, networking, business value and community outreach. Together, we create opportunities to learn from one another, encourage innovation and build a culture where everyone can contribute and grow.

Our commitment to inclusion is grounded in our core values: Be One Team, Deliver Excellence, Communicate Openly, Do the Right Thing and Solve Creatively for Tomorrow.

Equal Opportunity Employer
We are committed to maintaining a discrimination-free workplace in all aspects, terms and conditions of employment and welcome the unique contributions that you bring from education, opinions, culture, beliefs, race, color, religion, age, sex, national origin, handicap, disability, sexual orientation, gender identity or expression, ancestry, pregnancy, veteran status, and citizenship.