Job Description

Job Description

About the Role:
Our client a leading national insurance carrier is seeking an experienced Workers Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers compensation claims from initial filing through resolution ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.

Compensation:

• $80000 - $100000/year (based on experience)
• Annual target bonus
• Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
• Comprehensive benefits package including medical dental vision 401(k) and PTO.
• Opportunities for career growth within a stable and respected insurance organization.

Responsibilities

• Investigate evaluate and resolve workers compensation claims in accordance with applicable laws and company policies.
• Determine compensability establish reserves and authorize payments for medical and indemnity benefits.
• Coordinate and communicate with claimants employers medical providers attorneys and other stakeholders throughout the claim lifecycle.
• Develop strategies for efficient and cost-effective claim resolution including litigation management when applicable.
• Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
• Stay current on jurisdictional laws medical treatment trends and best practices in workers compensation claims handling.

Requirements

• 2 years of experience handling workers compensation claims for an insurance carrier or TPA.
• Strong knowledge of state workers compensation statutes and regulations.
• Excellent communication negotiation and analytical skills.
• Ability to manage a high-volume caseload effectively and independently.
• State adjusting license(s) as required.

Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.

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