Sr. Claims Specialist

Job Title: Sr. Claims Specialist
Job ID: 86546
Location: Charlotte, North Carolina


What you will be doing:
Workers Compensation Claims Management

• Direct Claims reporting and management with Third Party Claims Administrator

• Set up new workers’ compensation claims, verify incident details, and confirm state jurisdiction.

• Review and maintain complete, accurate, and audit?ready claim files.

• Monitor claims through closure and communicate regularly with insurance carriers and state agencies.

• Submit required state forms, wage statements, medical documents, and benefit notices on time.

• Prepare reports on claims trends, costs, and outcomes for senior leadership.

• Collaborate with EHS teams, insurers, and stakeholders to streamline claims processes.

Return to Work (RTW) Program Coordination and Case Management

• Ensure Return-to-Work programs comply with federal and state regulations.

• Monitor injured worker progress and collaborate with key stakeholders to address barriers to return-to-work.

• Review modified duty options, RTW plans, and ensure accurate documentation.

• Schedule and support RTW meetings to facilitate safe and timely return to work.

• Build and maintain relationships with clinics and occupational health providers.

• Support injury prevention initiatives and deliver training related to RTW and claims procedures.

• Resource and support Pre-Hire Screening Programs.

What you must have:

• 3–5 years of experience in U.S. workers’ compensation, disability management, claims management, or compensation administration

• Working knowledge of multi-state Workers’ Compensation legislation, reporting requirements, and claim processes.

• Experience coordinating return to work (RTW) programs and communicating effectively with medical providers.

• Ability to interpret medical, regulatory, and compensation data and provide clear, actionable recommendations.

• Experience with incident or claims management systems; Cority experience is an asset.

• Experience with compensation survey tools or benchmarking methodologies (asset).

• High attention to detail and strong judgment regarding sensitive information.

• Excellent communication, problem solving, organization, and stakeholder management skills.

• Solid understanding of U.S. compensation regulations and state pay transparency requirements.

• Proactive, collaborative, and able to thrive in a fast paced environment.

• 25% travel to site offices required

Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com