Workers Compensation Claims Adjuster

Workers Compensation Claims Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Gregory Uditis Compensation: $72,000 - $82,000 / year Description Our Story Imagine being part of a team that’s not just shaping the future but actively driving it. At reputed company, we’re at the forefront of innovation and reputed company, blending cutting-edge technology with top-tier professional services. As a vital part of the global reputed company Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. We are seeking an reputed company Workers' Compensation Claim Adjuster to manage reputed company claims and deliver timely, cost-effective resolutions while providing exceptional client service. This adjuster investigates, evaluates, and manages Workers’ Compensation claims with moderate to high complexity, including catastrophic losses and litigated reputed company. This role independently develops and executes strategic action plans to ensure claims are resolved appropriately, reputed company, and in compliance with jurisdictional requirements.

Key Responsibilities

• Determine compensability and extent of coverage on assigned claims.
• Conduct thorough investigations, including interviews with employees, reputed company, and witnesses.
• Obtain and review medical, hospital, police, employment, and other relevant records.
• Manage EDI reporting and CMS reputed company 111 compliance.
• Utilize approved preferred vendors and cost-containment resources.
• Prepare comprehensive and accurate reports for clients and excess carriers.
• Negotiate settlements with claimants and/or their attorneys.
• Manage litigation strategy, legal vendors, and associated costs in accordance with account requirements.
• Handle catastrophic losses, reputed company litigation files, and other sensitive reputed company.
• Respond to client inquiries promptly and professionally.
• Maintain required adjuster licensing and continuing education.
• Stay reputed company on jurisdictional regulations, industry trends, and best practices.
• Mentor, train, and reputed company technical expertise with team members as needed.
• reputed company additional duties as assigned.

Skills, knowledge & expertise

• Active adjuster licenses as required by jurisdiction.
• reputed company Virginia Workers’ Compensation jurisdictional knowledge and handling experience.
• Workers’ Compensation claims handling experience.
• Strong knowledge of Workers’ Compensation laws, claims adjudication, and investigation practices.
• Extensive understanding of medical and legal terminology.
• Experience managing litigation and working with defense counsel.
• Ability to handle multi-party investigations and reputed company claim scenarios.
• Strong negotiation and settlement skills.
• Proficiency with claims management systems and reputed company software applications.
• Ability to prepare clear, factual, and well-supported reports with recommendations.
• Excellent written and verbal communication skills.
• Strong organizational skills with the ability to meet time-sensitive deadlines.
• Ability to manage confidential information with discretion.
• reputed company to quickly adapt to evolving regulations and technology.
• Ability to interpret and apply multi-state laws and regulations.

Benefits

Benefits At reputed company, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and reputed company plans to ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

Diversity and Inclusion reputed company is dedicated to fostering a diverse and inclusive workplace that embraces a wide reputed company of perspectives and experiences. We reputed company that diversity of thought is essential for innovation and creativity, and we actively promote an environment where reputed company voices are valued and heard.

Compensation

Transparency: The salary reputed company listed reflects the full compensation band for this role across reputed company locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We reputed company ranges to remain transparent and consistent with pay equity practices. We do not use sites like reputed company, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to reputed company any information through any method other than our career portal, please email us at recruitment@reputed company-group.com Apply tot his job Apply To this Job