Workers’ Compensation Claims Adjuster

Job Locations US-United States
ID
2024-29034
Category
Legal

Overview

The Claims Specialist is responsible for managing a caseload of workers’ compensation claims and assisting with task specific support to the department. 

 

Benefits:

  • Medical, dental, and vision plans
  • 401(k) retirement plan with generous company match
  • Employee Stock Ownership Plan (ESOP)
  • Paid holidays, sick leave, and vacation
  • Wellness program
  • Tuition reimbursement program
  • Remote work environment

Responsibilities

  • Investigates facts surrounding work comp claims.   
  • Coordinates and supervises third-part administrator (TPA) adjustment of claims.   
  • Coordinates claims in monopolistic states.
  • Determines subrogation potential and pursues recovery if applicable.
  • Receives initial reports of all claim types.
  • Handles lower severity level workers’ compensation claims.
  • Submits workers’ compensation claims to our TPA for handling.
  • Communicates with injured worker and manager to process work releases, accommodations, and restrictions.
  • Communicates with our TPA regarding work status, treatment, etc.
  • Summarizes and documents all activity in claims database and resolves claims in a timely fashion.
  • Determines subrogation potential and pursues recovery if applicable.
  • Maintains records for OSHA injury and illness record keeping and reporting.
  • Assists with task specific requests from the Workers’ Compensation Supervisor and other Workers’ Compensation Analysts.
  • Additional tasks as assigned from the team

Qualifications

  • High School Diploma
  • 1+ years of related work experience.
  • Good written and verbal communications skills (grammar) are required
  • Experience or prior training in customer service
  • Efficient keyboarding skills
  • Must be detail oriented and possess organizational skills.
  • Excellent Microsoft Office skills including Excel, Word, etc.
  • Must be a Citizen or National of the United States, a lawful, permanent resident, or have authorization to work in the United States
  • Applicants must not now, or any time in the future, require sponsorship for an employment visa.

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