Workers Compensation Claims Representative managing claims independently with minimal oversight. Conducting thorough investigations and negotiating settlements for insured parties in a hybrid work environment.
IS
Hybrid Workers Compensation Claims Adjuster, III
Posted 3 months ago
About the role
- Claims Adjuster managing an assigned inventory of claim files under the supervision of a Claims Supervisor. Responsible for effective case management and documentation of ongoing case facts.
Responsibilities
- Reports directly to the unit Claims Supervisor
- Responsible for effectively managing to conclusion an assigned inventory of claim files
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim
- Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability
- Form a partnership with the medical case manager to maximize early return to work potential
- Initiate the referral to the SIU of cases with suspected fraud
- Aggressively pursue subrogation from culpable third parties
Requirements
- Bachelor's degree (B. A.) from four-year college or university
- At least seven years related experience and/or training
- Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases
- Possess an SIP certificate
Benefits
- WFH Flexible
- Equal opportunity employer
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