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Workers Compensation Claims Adjuster Jobs in Iowa

(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.
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.
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 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

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