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Workers Compensation Claims Adjuster Jobs

Workers Compensation Claims Adjuster
By TheBest Claims Solutions At East Hartford, CT, United States

3+ years of workers compensation claims handling experience

Active Adjuster License and experience in CT, NH and/or RI

Workers Compensation Adjuster - Remote
By Questpro At Tennessee, United States
5+ years of experience handling complex workers’ compensation claims.
Must have an adjuster license and experience in multiple jurisdictions.
Ability to handle Lost Time Work Comp claims "cradle to grave".
Ability to read and interpret complex WC coverage.
High school diploma required, Bachelor’s degree from an accredited college or university preferred.
Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Parsippany, NJ, United States

1+ year of workers compensation claims handling experience

1+ year of experience handling NY Lost Time claims

Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Home, KS, United States

1+ year of workers compensation claims handling experience

1+ year of experience handling NY Lost Time claims

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.
Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Houston, TX, United States
Prior experience handling claims reviews and litigation management
2+ years of experience handling Workers Compensation claims from inception to close including those in litigation
Active Adjuster's License in Texas
Workers' Compensation Commission Claims Reviewer I
By State of Maryland At , Baltimore, 21202, Md $34,353 - $47,160 a year
1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
1 year of data entry experience
6 months experience in workers' compensation laws and regulations
1 year experience with workers’ compensation claims
1 year experience working with insurance companies/agencies
Intermediate skills in Microsoft Office (Word, Excel, Outlook and PowerPoint)
Workers' Compensation Claims Adjuster (Lost Time) - Las Vegas, Nv
By UnitedHealth Group At , Las Vegas, 89102, Nv $46,700 - $91,300 a year
Education Reimbursement - up to $5,250 per calendar year for job-related coursework
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) · More information can be downloaded at: http://uhg.hr/uhgbenefits
1+ years of experience adjudicating Workers’ Compensation claims
1+ years of experience processing lost time claims
Ability to multi-task and understand multiple products and multiple levels of benefits within each product
Excellent oral and written communication skills
Workers Compensation Claims Adjuster
By Maricopa County, AZ At , Phoenix, 85003, Az $55,640 - $92,768 a year
An equivalent combination of post-secondary education and/or job-related experience may substitute for the minimum qualifications on a year-for-year basis
Experience working in Origami claims management system
Bachelor’s degree in risk management, business administration, public administration, or related field
About The Department of Risk Management
Two years of experience coordinating the appraisal/claims process on worker's compensation claims
Experience processing public sector insurance claims
Worker's Compensation Claims Adjuster Iii
By Intercare Holdings Insurance Services At , Glendale, 91203, Ca $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.
Workers' Compensation Claims Adjuster I/Ii
By County of Riverside At , Riverside, Ca

The County of Riverside’s Human Resources Department is seeking a Claims Adjuster I/II to support the Workers' Compensation Division. The level at which the position will be filled is at the ...

Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Fontana, CA, United States

Strong computer proficiency, excellent written and verbal communication skills

2+ years of handling California Medical Only Claims

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.
Claims Adjuster Workers Compensation
By Gallagher At , Las Vegas, 89107, Nv
Join a team of skilled professionals who are up for a challenge and take outstanding performance to heart!
Accelerate your career development with a diverse range of experiences across multiple coverages, jurisdictions, industries, and risks!
Handle claims consistent with clients' and corporate policies, procedures and standard methodologies in accordance with any statutory, regulatory and ethics requirements.
Minimum of 2 years related claim's experience required
Knowledge of accepted industry standards and practices
Computer experience with related claims and business software
Workers Compensation Claims Specialist
By Liberty Mutual At , Indianapolis, 46240, In $53,900 - $87,200 a year
Bachelor`s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred.
Manages an inventory of claims to evaluate compensability/liability.
Proven interpersonal, analytical and negotiation abilities required.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
Workers Compensation Claims Adjuster
By Brown & Brown Insurance At , , Ny
Interpersonal skills—the individual maintains confidentiality, remains open to others' ideas and exhibits willingness to try new things.
Oral communication—the individual speaks clearly and persuasively in positive or negative situations and demonstrates group presentation skills.
Problem solving—the individual identifies and resolves problems in a timely manner, gathers and analyzes information skillfully and maintains confidentiality.
Prior experience in adjusting New York State workers’ compensation claims.
Manage Workers’ Compensation claims within specific limits and authority.
Physical Requirements Necessary on a Regular Basis:
Workers Compensation Claims Specialist
By Liberty Mutual At , Columbus, Oh $53,900 - $87,200 a year
Bachelor`s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred.
Manages an inventory of claims to evaluate compensability/liability.
Proven interpersonal, analytical and negotiation abilities required.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
Workers Compensation Claims Assistant- Eberle Vivian
By Liberty Mutual At , Kent, 98032, Wa $53,000 - $69,700 a year
Thorough knowledge of claims processing. Strong verbal and written communication skills.
Strong organizational skills and ability to manage multiple tasks simultaneously.
Serve as resource of process and system knowledge to department.
Associate Degree or equivalent work experience. 3+ years business experience with Washington State Self Insured Workers' Compensation preferred.
Ability to work independently and make sound judgments; demonstrated problem solving skills.
Request wages and complete wage calculations.
Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Sacramento, CA, United States
3+ years of experience handling Workers Compensation claims
Experience Handling Claims in California
Experience working in multiple jurisdictions or willing to learn
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

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