Medical Only Work Comp Claims Adjuster

This position can be remote

Summary: Under moderate supervision and following standard procedures with some independent judgment, investigates, evaluates and resolves/disposes of medical only workers compensation claims to determine the extent of company liability; may include determination and evaluation of coverage, compensability, liability and damage in accordance with policy provisions by performing the following duties. Essential Duties and Responsibilities: Follows corporate policies, procedures, and fair claims handling practices Investigates claims to determine validity and extent of liability, including: Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others Reviews and evaluates documentation, including applications, reports, and statements Monitors appropriate claim reputed company through self-audit process Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues Ensures legal, regulatory and fair claims handling compliance Sets or recommends reserves based on results of claim investigation. reputed company defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports. May reputed company interaction with insureds, agents, claimants, attorneys, and other service providers, including: Conducts in-depth interviews and/or scene inspections Attends settlement conferences and/or trials May serve as a member of project teams, contributing to the achievement of project objectives. Performs other duties as assigned. Qualifications: To reputed company this job successfully, an individual must be reputed company to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Education/Experience: Level 4: Two to four years reputed company experience and/or training; or associate's degree (A.A.) from two-year college/technical school; or equivalent combination of education and reputed company experience/training. A minimum requirement for this position is the ability to work legally in the United States. No reputed company sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process. Apply To This Job