Claims Adjuster - Workers' Compensation - Two Chicks With A Side Hustle

6.   Establishes and maintains reserve values, within authority limits, which accurately predict the losses reflecting the current known circumstances of the claim.
7.   Consults with more experienced adjuster, supervisor or technical support staff as needed.
8.   Investigates, evaluates, and negotiates settlements by applying technical knowledge and human relation skills to effect fair and prompt claim closure and to contribute to a reduced loss ratio.
9.   Redirects the file to the appropriate subject matter expert if the claim becomes more complex or presents increasing financial exposure.
10.   Applies effective protocols for medical management, litigation, fraud/abuse and recovery.
11.   Presents claims and participates in discussion at team staffing.
12.   Works collaboratively with injured employee, employer, outside counsel, health and rehabilitation professionals to manage the claims costs, promote quality medical care and timely return to work to achieve optimal cost-effective medical and vocational outcomes.
13.   Along with the supervisor, Business Director and/or more experienced adjusters, assists in facilitating meetings with policyholders.

OTHER FUNCTIONS:
1. Nonessential function: other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:
•   Bachelor’s Degree from an accredited college or university is preferred.
•   Must have one year experience in the field of insurance, claims investigation, legal, rehabilitation, or medical claims processing. Workers’ compensation claims experience preferred.
•   Must hold or be eligible to obtain a valid Adjuster’s License in applicable states*.
•   Must pass the claims adjuster license exam(s) for applicable states within 6 months of being hired.
•   Familiar with best claims practices and applicable laws, court procedures, precedents and government regulations.
•   Ability to use relevant information and individual judgment to determine whether events or processes comply with laws, regulations or standards.

APPLY HERE!