Workers Compensation Claims Adjuster
The James Allen Companies Inc.
Workers Compensation Claims Adjuster
About the job
Company Description:
Our client is a Michigan based insurance company that has been providing workers’ compensation insurance to employers throughout Michigan since 1976.
Role Description:
This is a full-time role for a Claims Adjuster. The Claims Adjuster will be responsible for handling the daily processing of insurance claims, including determining coverage, investigating claims, and adjusting and managing claims within a team. The Claims Adjuster will also be responsible for assisting insureds, cultivating good customer relations, and answering insured or claimant questions. This is an on-site role located in Novi, MI
Essential Duties:
- Investigate, adjust, and conclude workers’ compensation claims in a timely manner.
- Assist insureds and cultivate good customer relations by performing the following duties:
. Examine policy to verify coverage
. Investigate cause of loss and document information in the file
. Obtain evidence if fraud or subrogation is involved
. Establish reserves and review current reserves for accuracy
. Review medical & investigative reports and apply finding to the claim
. Perform three point contact
. Apply benefits within scope of the Michigan workers’ compensation act
. Prepares properly documented file for data entry and payment issuance
. Answer questions from insureds/claimants regarding the claims process
. Discuss claims above authority, and submits authority reporting to Vice President of Claims
. Performs other related duties as assigned or directed by the President or Vice President of Claims
. Actively pursues continuing education
Qualifications:
- Claims handling and insurance skills
- 3+ years of experience in workers’ compensation claims adjusting
- Claims management skills – medical only and indemnity cases
- Excellent written and verbal communication skills
- Ability to work independently and in a team environment
- Ability to utilize multiple claims management software
- Insurance adjuster license is preferred
- Litigation experience is preferred
Benefits:
- Health, Dental, Vision, and Life Insurance
- 401k
- Paid Time Off