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Workers Compensation Claims Adjuster Jobs in Fremont, Iowa

Claims Manager, Workers Compensation
By Nationwide At , Remote
Education: Undergraduate studies in business administration or related field preferred and/or relevant Workers’ Compensation experience.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Registered Nurse (RN) licensure required; Successful completion of required claims certification schools/courses. State licensing where required.
Three or more years of clinical experience required, medical coding or medical billing preferred.
Strong data analysis skills to determine medical bill rule design.
Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.
Workers Compensation Claims Adjuster Iii
By Intercare Holdings Insurance Services At , Remote $75,000 - $98,000 a year
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Claims Adjuster-Workers' Compensation Jobs
By Method Workers' Compensation At , Remote
Maintain knowledge of jurisdictional requirements and applicable case law for each State, including appropriate licensure and continuing education requirements.
Ensure all benefits are paid timely and in accordance with jurisdictional requirements.
Coordinate vendor utilization while considering claim cost containment techniques and outcomes, including but not limited to nurse case management, surveillance, etc.
Notify management of large loss exposure, denial, coverage disputes, subrogation potential, or other matters requiring escalation or collaboration.
A combination of education and experience in a TPA or brokerage environment will be considered
Ensure compliance of claims handling requirements pursuant to all state, legal, statutory and regulatory bodies.
Workers' Compensation Claims Adjuster - Tpa Oversight
By EMC Insurance At , Remote
Submits referrals to the Special Investigation, Subrogation, Corporate Office Coverage Counsel, Medical Management and Medical Review Units as appropriate
Audits TPA benefit calculations due and ensures they are paid appropriately
Manages claim recoveries including resolution of financial deviations and subrogation
Ensures TPA compliance with all state-specific and jurisdictional reporting requirements through all required communication channels and documents actions appropriately
Maintains continuing education credits and current licenses as required by jurisdiction
Assists with training less experienced team members
Sr. Workers Compensation Claims Analyst
By Tesla At , Fremont, Ca
Bachelor’s Degree Preferred (Business Administration, Insurance or Risk Management) or equivalent combination of education, training, and experience
Provide oversight as needed to respective regional Workplace Health Team for day-to-day operations, project management, and claim escalations.
A background in risk management and/or workers’ compensation claims management with a large-scale manufacturer or distributor is preferred but not required
Generate quarterly reports to Workers’ Compensation Manager related to high-exposure events, injury trends, claim costs, and workers’ compensation metrics.
Coordinate with the Return-to-Work team for employees who are receiving disability benefits due to non-accommodation in their department
Ad-hoc reporting, data analysis, presentations and training as requested by the Workers’ Compensation Manager.
Workers Compensation Claims Director - Remote Option
By Helpside At , Remote
Minimum of 2+ years of Utah lost time/disability work comp adjusting experience
Working knowledge of the Utah work comp medical network
Excellent oral and written communication skills
Experience supervising other adjusters is a plus, but not required.
Additional voluntary supplemental benefits including dental, vision, life insurance, disability, accident, critical illness, etc.
Sound understanding of proper reserving practices
(Remote) Claims Team Lead - Workers Compensation
By Sedgwick At , Chicago
Education & Licensing: 5-7 years of claims management experience or equivalent combination of education and experience required.
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Compiles reviews and analyzes management reports and takes appropriate action.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Senior Workers Compensation Claims Adjuster
By Cottingham & Butler At , Tampa, Fl
Strong organizational and time-management skills.
Proficiency in computer programs, including Microsoft Office and claims management software.
Minimum of 1 year experience as a workers compensation claims adjuster.
License/state experience in the Southeast region.
Demonstrated knowledge of workers compensation laws and regulations.
Strong analytical and problem-solving skills.
Workers Compensation Claims Advisor - Overland Park, Ks Or Remote
By CRH Americas Corporate At , Atlanta, 30338
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Workers' Compensation Claims Facilitator
By State of Hawaii At , Island Of Hawai‘i $4,690 - $5,493 a month
C (Download PDF reader)lick here to view Minimum Qualification Specification (Download PDF reader)
Click here to view Minimum Qualification Specification (Download PDF reader)
o qualify, you must meet all of the following requirements:
Professional Trainee II: SR-18, Salary $4,339 per month
Professional Trainee I: SR-16, Salary $4,011 per month
Consideration may be given to lower levels:
Workers Compensation Claims Advisor - West - Remote
By CRH Americas Corporate At , Phoenix $85,000 - $100,000 a year
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Claims Adjuster - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007 $65,000 - $90,000 a year
Manage all aspects of claims to resolution in accordance with jurisdictional requirements
Obtain appropriate state adjuster certification and continuing education credits
Establish appropriate claim reserve and manage reserve adequacy throughout life of claim
Negotiate skillfully in difficult situations to win concessions without damaging relationships
Minimum 3 years progressive work experience in administrative role
Bachelor's Degree in relevant field or equivalent work experience
Claims Technician - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007 $17 - $25 an hour
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Minimum of one year of progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Senior Workers' Compensation Claims Adjuster
By County of Contra Costa, California At , $93,396 - $113,523 a year
We offer a hybrid remote work schedule
Why join the Contra Costa County Department of Risk Management?
An Effective Communicator. You will need to possess strong verbal, written, and listening skills
You will be expected to manage multiple assignments with competing deadlines
Knowledgeable in Workers Compensation Claims.
Adaptable. You will need to adjust easily to varied and changing priorities in a fast-paced environment
Workers Compensation Claims Adjuster Iii
By Intercare Holdings Insurance Services At , Glendale, 91203 $76,000 - $100,000 a year
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Claims Adjuster - Workers' Compensation
By Berkshire Hathaway GUARD Insurance Companies At , Wilkes-Barre, 18701
Advising employers on the proper management and impact of Workers’ Compensation claims
Healthcare benefits begin on your first day of employment
Hybrid work schedule: Three days in the office, two days from home
The prompt provision of benefits and assistance in early return to work
Computer Literacy with strong Microsoft Office capabilities
Excellent communication and organizational skills
Workers Compensation Claims Adjuster Ii
By Intercare Holdings Insurance Services At , $28.85 - $42.30 an hour
Litigation Management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Workers' Compensation Adjuster I
By Erie Insurance At , Erie, 16530, Pa $53,114 - $84,844 a year
Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.
401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
Career development. Including a tuition reimbursement program for higher education and industry designations.
The successful candidate will work from home and must live in ERIE’s footprint.
Benefits That Go Beyond The Basics
Premier health, prescription, dental, and vision benefits for you and your dependents.
Workers Compensation Claims Adjuster Iii
By Intercare Holdings Insurance Services At , Rocklin, 95765, Ca $75,000 - $98,000 a year
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Workers Compensation Adjuster Jobs
By TheBest Claims Solutions At San Bernardino, CA, United States

3 years of Workers Compensation Claims experience

Knowledge of Labor Code 4850 and handling public entity accounts

Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Greenwood Village, CO, United States
3+ years of experience handling Workers Compensation Indemnity claims from inception to close
Excellent verbal and written communication skills
Ability to work remotely with minimal supervision
CO or UT jurisdictional background
Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Salt Lake City, UT, United States
3+ years of experience handling Workers Compensation Indemnity claims from inception to close
Excellent verbal and written communication skills
Ability to work remotely with minimal supervision
CO or UT jurisdictional background

Are you looking for an exciting and rewarding career as a Workers Compensation Claims Adjuster? Join our team and help us provide the best service to our clients. We offer competitive salaries, great benefits, and a supportive work environment. Come join us and make a difference!

Overview:

A Workers Compensation Claims Adjuster is responsible for investigating, evaluating, and settling workers compensation claims. They must be knowledgeable about the laws and regulations governing workers compensation claims and be able to interpret them in order to make decisions. They must also be able to communicate effectively with claimants, employers, and other parties involved in the claim.

Detailed Job Description:

A Workers Compensation Claims Adjuster is responsible for investigating, evaluating, and settling workers compensation claims. They must review and analyze medical records, accident reports, and other documents related to the claim. They must also interview claimants, employers, witnesses, and other parties involved in the claim in order to determine the facts of the case. They must be able to interpret the laws and regulations governing workers compensation claims in order to make decisions regarding the claim. They must also be able to communicate effectively with claimants, employers, and other parties involved in the claim.

What is Workers Compensation Claims Adjuster Job Skills Required?

• Knowledge of workers compensation laws and regulations
• Excellent communication and interpersonal skills
• Ability to analyze and interpret medical records, accident reports, and other documents
• Ability to make decisions based on facts and evidence
• Ability to negotiate settlements
• Ability to work independently and as part of a team

What is Workers Compensation Claims Adjuster Job Qualifications?

• Bachelor’s degree in a related field
• Previous experience in a related field
• Certification as a Workers Compensation Claims Adjuster (preferred)

What is Workers Compensation Claims Adjuster Job Knowledge?

• Knowledge of workers compensation laws and regulations
• Knowledge of medical terminology and procedures
• Knowledge of insurance policies and procedures
• Knowledge of legal terminology and procedures

What is Workers Compensation Claims Adjuster Job Experience?

• Previous experience in a related field
• Previous experience in claims adjusting

What is Workers Compensation Claims Adjuster Job Responsibilities?

• Investigate, evaluate, and settle workers compensation claims
• Review and analyze medical records, accident reports, and other documents related to the claim
• Interview claimants, employers, witnesses, and other parties involved in the claim
• Interpret the laws and regulations governing workers compensation claims
• Negotiate settlements with claimants, employers, and other parties involved in the claim
• Communicate effectively with claimants, employers, and other parties involved in the claim
• Prepare reports and other documents related to the claim
• Maintain accurate records of all claims