Claims Adjuster 1

This is an excellent opportunity to be trained into the world of workers’ compensation claims adjusting. Workers compensation adjusting is an intellectually interesting and professionally rewarding position that plays a critical role in the success of the company while positively impacting lives. Your strong negotiation and persuasion skills; high aptitude to learn and effectively apply medical and legal principles; and ability to thrive in a challenging and fast paced role are attributes we want on our team.

RESPONSIBILITIES:

• Determine coverage and compensability for reported claims
• Accurately set reserves, ensuring that timely updates are made with claim developments
• Maintain compliance with regulatory deadlines, benefit calculations, state reporting, and benefit notices
• Achieve favorable settlements through timely identification of settlement opportunities; accurate settlement valuations; and effective negotiation practices
• Direct vendors such as field nurses, investigators, defense attorneys to positively impact claims outcomes

REQUIREMENTS:

• Ability to comprehend and learn new workers’ compensation regulations while interpreting complex legal and medical documents.
• Strong verbal and written communication skills with the ability to effectively communicate with a broad audience of varying backgrounds, frequently conveying complicated information in a way easily understood by a layperson
• Working knowledge of Microsoft Word, Excel, with aptitude to learn other software programs

QUALIFICATIONS:

• A keen, logical mind and a strong aptitude for analytical thinking
• Strong oral and written communication skills
• Rock-solid honesty, openness, and ethical values
• Highly collaborative, ego-free work style; fit into a culture in which people genuinely enjoy working together
• Working knowledge of Microsoft Word and Excel and the ability to rapidly master specialized software programs
• Bachelor’s degree is a plus but not required