Job Description

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Job Title: Workers’ Compensation Indemnity Specialist

Terms: Direct Hire, FTE Role (Salaried + Benefits + Bonus)

We are seeking an experienced Indemnity Claims Specialist to manage a complex workers’ compensation desk with a strong emphasis on Kentucky, Indiana, Illinois, and Michigan lost-time and litigated claims . This role handles primarily indemnity and complex files, with limited medical-only exposure, and requires collaboration with internal leadership and external stakeholders to ensure high-quality, compliant claim outcomes.

RESPONSIBILITIES:

• Manage a caseload of approximately 135 open indemnity and complex workers’ compensation claims , including lost-time files
• Handle a desk that is at least 50% litigated, working closely with defense attorneys
• Demonstrate strong working knowledge of Kentucky & Indiana Workers’ Compensation regulations and practices
• Apply Michigan and Illinois jurisdictional knowledge as required by assigned files
• Investigate claims, determine compensability, establish reserves, and manage ongoing exposure
• Coordinate medical care, wage loss benefits, and return-to-work efforts
• Communicate effectively with all stakeholders, including attorneys, injured workers, employers, carriers, and medical providers
• Utilize claims management systems to document activity, manage workflows, and meet service expectations
• Adhere to quality standards, production benchmarks, and client service level agreements (SLAs)
• Participate in internal reviews, audits, and performance evaluations

Performance Measures

• Compliance with quality and accuracy standards
• Meeting production expectations for claim handling and resolution
• Adherence to client service level agreements (SLAs)

Stakeholders

• External: Defense attorneys, injured workers, employers, clients, carriers, medical providers
• Internal: Supervisor, Manager, Account Manager

QUALIFICATIONS:

Experience & Knowledge

• 2–3 years of workers’ compensation claims experience, with a strong focus on indemnity and lost-time claims
• Extensive Kentucky and Indiana workers’ compensation experience required
• Illinois claims experience required
• Michigan experience preferred and may be eligible for additional consideration
• Prior experience handling litigated claims is required

Licenses & Education

• Michigan, Indiana, and Kentucky Adjuster’s License required
• Reciprocal licenses (Florida or Texas) accepted
• Illinois Experienced Examiner Certification
• Bachelor’s degree or equivalent relevant work experience

Technical Skills

• Proficiency in Microsoft Office (Teams, Outlook/Email, Word)
• Experience using CareMC claims system preferred (not required)
• Strong documentation, organization, and time-management skills

OpTech/GTech is an Equal Opportunity Employer (EOE), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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