Worker’s Compensation Claims Adjuster

Worker’s Compensation Claims Adjuster

The James Allen Companies Inc
Published
July 10, 2018
Location
Category
Claims  
Job Type

Description

Sr Workers Compensation Claims Rep

Our client is a highly rated insurance carrier with an office in the area. Due to an up and coming retirement they are looking for a Workers Compensation claims professional to handle multiple jurisdictions for the organization. In addition to handling the workers compensation claims this person will have the opportunity to cross train in both GL and Auto.

Exciting opportunity to work at a fast paced, challenging and growing company along with opportunity to expand skill set to include GL, and Auto.

Responsible for ensuring the proper administration, handling and resolution of all assigned claims.

Complete claim contacts and investigations, documenting and handling claim files within.
Handle full caseload of worker compensations files including reserving, determine coverage and compensability, supervise legal defense and medical management and bring claims to appropriate resolution.
Communicate the appropriate claim information to the assistant for support activity.
Field phone calls for highest-level customer service and best claim practices, attempt to handle all inquiries or action items on a claim in a timely manner.
Conclude the claim with appropriate resolution Always have a plan in place for resolution and closure of the claim. Monitor plan and adjust as necessary during claim development and handling to bring them to closure.

REQUIREMENTS: Candidates must have knowledge of medical terminology, workers compensation laws, and benefits.

Pleasant and professional telephone skills.

Ability to handle multiple and sometimes conflicting priorities, fast paced environment.

Candidate must be self-motivated and require little supervision. Must be able to obtain licensure and certifications as necessary.

High level of customer service, and organization skills and time management skills are a must.

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