Workers' Compensation Claims Adjuster I

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Requirements:

• Bachelor’s degree or equivalent relevant experience.
• One year of workers’ compensation claims adjusting experience or related experience.
• Attainment of all applicable state licenses within one year of hire.
• Relevant insurance designations preferred.
• Good knowledge of insurance contracts and medical terminology.

Responsibilities:

• Exercises independent judgment in the investigation, evaluation, negotiation, and disposition of workers’ compensation claims.
• Communicates with insureds, agents, and experts regarding coverage and claim status.
• Reviews claim notices, contracts, and policies to verify coverage and compensability.
• Documents claim activities, sets reserves, and identifies recovery opportunities.
• Researches medical treatment and coordinates return-to-work efforts with medical providers.