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Claims Representative

Louisiana Workers' Compensation Corporation, 2237 S. Acadian Thruway, Baton Rouge, Louisiana, United States of America Req #34
Tuesday, March 5, 2024

LWCC is a Champion of Louisiana business and proud to be headquartered in the state capital, Baton Rouge. As a model single-state, private mutual workers’ comp company, we promote safety, security, and stability in Louisiana. LWCC is dedicated to excellence in execution, from underwriting to life-long care of injured workers. We are proud to partner with our agents, and together deliver outstanding service to policyholders and their workers. Our commitment is to be there for Louisiana. Always. 

We are Louisiana Loyal, more than a tagline, this is a mantra and a movement that inspires us to be a catalyst elevating Louisiana’s position in America. We hope to inspire other Louisiana businesses and citizens to join us in helping Louisiana thrive by bettering our state one business and one worker at a time.

In 2023, the company was named as a Best Place to Work by the Greater Baton Rouge Business Report for the fourth time. LWCC has been recognized by industry leading benchmarker AON and named to the Ward’s 50® group of top-performing insurance companies for achieving outstanding results in the areas of safety, consistency, and performance over a five-year period, 2015-2019. 

Our company offers an excellent benefits package including health, dental, vision, life and disability insurance; a 401(k) savings plan; educational assistance; and an on-site fitness center. LWCC is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, religion, sex, age, handicap, Vietnam era or disabled veteran status.

For more information on the corporation and its services, please visit To learn more about Louisiana Loyal, please visit


Investigates, evaluates, and handles assigned claims through final disposition in accordance with company procedures. Investigates coverage and compensability issues.  Handles lost time claims to include medical case management, litigation management, return to work and settlement where necessary.  Uses technology and systems to manage claims, to include document management, utilization review, and pharmacy management.  Develops skillset to pro-actively manage caseload, to include time management, decision makings skills, and having difficult conversations.

Major Areas of Accountability

  • Investigates assigned claims following sound claim handling techniques in accordance with company claim philosophy and quality assurance standards. 
  • Responsible for investigating and determining coverage, compensability, and subrogation potential on every claim, including second injury fund and longshore 8(f) special fund. 
  • Determines proper jurisdiction and classifies each claim under state, federal or maritime class codes.
  • Establish and adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies and within assigned authority levels
  • , Evaluates and negotiates settlements of claims within assigned authority level.
  • Manage all litigation issues arising under assigned claims, to include coverage, compensability, medical causation, return to work issues, and any other issues under the law. 
  • Responsible for medical case management, utilization review, return to work, pharmacy management and settlement/mitigation when necessary.
  • Continuous communication with injured workers, policyholders, agents, medical providers, plaintiff attorneys and defense attorneys.
  • Heightened focus on learning applicable laws, regulations and medical guidelines. 
  • 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.

Personality/Working Style

  • Strong character
    • Alignment with company values, mission, and vision
    • Trustworthy and honest
    • Decisive
    • Curious and persistent
    • Commitment to accountability
  • Passion for innovation
    • Willingness to learn
    • Adaptive to changing (tolerance for ambiguity)
    • Desire to collaborate to achieve corporate goals
  • Strong communicator
    • Effective communication skills
    • Empathetic listener and open-minded
    • Focus on customer service and stakeholder experience
    • Effectively handle difficult conversations
    • Effective use of persuasion

Education and Experience

  • Education 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 of experience as an insurance claims adjuster.
  • Skills Required:
    • Communication, computer literate, math, judgment and problem-solving skills.
Location on Google Maps
  • Louisiana Workers' Compensation Corporation, 2237 S. Acadian Thruway, Baton Rouge, Louisiana, United States of America