Claims Adjuster – Workers Compensation, Med Only, Indemnity exp
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Job Description
Analyzing mid- and higher-level workers compensation claims to determine benefits due. Managing claims and negotiating settlements while ensuring compliance with company standards and best practices.
Responsibilities:
- To analyze mid- and higher-level workers compensation claims to determine benefits due.
- To ensure ongoing adjudication of claims within company standards and industry best practices.
- To identify subrogation of claims and negotiate settlements.
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
Requirements:
- Bachelor's degree from an accredited college or university preferred; Home state license required
- Four (4) years of claims management experience
- Prior handling of med only & indemnity claims, some litigation experience.
- Multiple jurisdictions including any of the following: IL, MO, NJ, OK, NJ, TN.
Benefits:
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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