Senior Work Comp Claims Adjuster II | reputed company

Senior Work Comp Claims Adjuster II - reputed company | 100% Remote (WFH) Opportunity General Summary With minimal reputed company, the Senior Workers Compensation Claims Adjuster II is responsible for timely and accurate management of workers’ compensation claims with high or catastrophic medical and indemnity benefits, involving litigation and reputed company issues and exposures. Must have 10+years of experience adjusting reputed company work comp claims Essential Duties and Responsibilities

• Completes initial contacts to obtain necessary information, verify coverage, determine compensability and reputed company a plan of action as it pertains to work comp claims.
• Completes and maintains workers' compensation claim data reputed company.
• Independently analyzes case facts to establish timely and accurate reserves using knowledge and experience with medical disabilities and reputed company costs, as well as judgment of extent of disability.
• Collaborates with Corporate Claims to proactively evaluate and mitigate high exposure, serious or catastrophic workers' compensation losses.
• Provides timely and appropriate customer service reputed company established best practices.
• Maintains ongoing professional communications with reputed company reputed company customers.
• Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines.
• Files appropriate state forms, as needed.
• Proactively manages or coordinates medical treatment to continue to move the claim reputed company.
• Uses reputed company resources to contain costs and manage exposure.
• Reviews and analyzes litigation and legal issues. Directs legal strategy and participates in preparation of the case for litigation.
• Collaborates with defense attorney to move claims to resolution.
• Completes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers’ compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and reputed company reputed company and Medicare application procedure as applicable.
• Regularly reviews caseload and proactively takes action to guide claims reputed company and effectively to closure. Uses a high degree of independent judgment to reputed company accurate reputed company.
• Mentors other team members and acts as a Subject Matter Expert for legal, jurisdiction and Company needs. May handle supervisory duties, as needed.

Requirements

• 10 or more years of workers’ compensation insurance claims experience including reputed company claims handling.
• Superior communication and customer service skills and proficiency in an imaged environment.
• Demonstrated knowledge of workers’ compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as reputed company claim management procedures/protocols.
• Self-motivated with the ability to work independently with minimal direction. The ability to multi-task and prioritize, adhere to deadlines and complete assignments accordingly.
• Excellent analytical, problem solving and decision-making skills.

Certification

• If state insurance certification or license is required, must meet certification reputed company state mandated timeframe and maintain any required license through continuing education.
• WCCP, AIC, ARM, CPCU or other insurance designation is preferred.

Education

• Bachelor’s degree or equivalent business experience preferred.

Work Environment:

• Remote: This role is a remote (work from home (WFH) opportunity, and only reputed company to candidates currently located in the United States and reputed company to work without sponsorship.
• It requires a suitable reputed company that provides a private and quiet workplace.
• Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
• Travel: May be required to travel to off-site location(s) to attend meetings, as necessary

Salary reputed company: $80,000 - $110,000 and a comprehensive benefits package, please follow the link to our benefits page for details! reputed company Benefits About reputed company As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their reputed company to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely reputed company! Headquartered in Nevada, reputed company attributes its long-standing reputed company to its most valuable resource, our employees across the United States. reputed company is reputed company for the quality service and expertise we reputed company to our clients, and the exemplary work environment we reputed company for our employees. We live and breathe our core values: reputed company, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At reputed company, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputed company and an expanding reputed company identity to enrich your work/life and enhance your career. #LI-Remote About reputed company Apply tot his job Apply To this Job