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Workers Compensation Claims Adjuster II

Posted 2024-11-12

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💎 Seniority level: Middle, Three years of workers compensation claims adjusting experience or related experience

📍 Location: United States of America

💸 Salary: 69643 - 89430 USD per year

🔍 Industry: Insurance

🏢 Company: EMC_Careers

🗣️ Languages: English

⏳ Experience: Three years of workers compensation claims adjusting experience or related experience

🪄 Skills: Data AnalysisData analysisGoCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationMultitaskingDocumentation

Requirements:
  • Bachelor’s degree or equivalent relevant experience.
  • Three years of workers compensation claims adjusting experience or related experience.
  • Attainment of all applicable state licenses within six months of hire.
  • Strong knowledge of insurance contracts, medical terminology, and relevant laws.
Responsibilities:
  • Exercises independent judgment in the investigation, evaluation, negotiation, and disposition of moderately complex workers’ compensation claims.
  • Initiates timely contact with insureds and injured workers to explain the claims process and investigate compensability.
  • Obtains statements from insureds, injured workers, and witnesses.
  • Documents claim activities and conducts reserve analysis.
  • Communicates with insureds and claimants to resolve claims and negotiate settlements.
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💸 69643 - 89430 USD per year

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  • Bachelor’s degree or equivalent relevant experience.
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  • Exercises independent judgment in the investigation, evaluation, negotiation, and disposition of moderately complex workers’ compensation claims.
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Posted 2024-11-13

📍 United States of America

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  • Bachelor’s degree or equivalent relevant experience.
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  • Attainment of all applicable state licenses within six months of hire.
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  • Exercises independent judgment in the investigation, evaluation, negotiation, and disposition of moderately complex workers’ compensation claims.
  • Communicates with insureds, agents, and experts regarding coverage and claim status.
  • Reviews and evaluates claim documents and initiates contact with insureds and injured workers.
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  • Researches medical treatments related to claims.
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Data AnalysisData analysisGoCommunication SkillsAnalytical SkillsCollaborationMicrosoft ExcelProblem SolvingCustomer serviceMicrosoft OfficeNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationMultitaskingDocumentationMicrosoft Office Suite

Posted 2024-11-13
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🔥 Workers' Compensation Claims Adjuster II
Posted 2024-11-12

📍 United States of America

🧭 Full-Time

💸 69643 - 89430 USD per year

🔍 Insurance

🏢 Company: EMC_Careers

  • Bachelor’s degree or equivalent relevant experience.
  • Three years of workers compensation claims adjusting experience or related experience.
  • Attainment of all applicable state licenses within six months of hire.
  • Relevant insurance designations preferred.
  • Strong knowledge of claim functions, insurance contracts, and medical terminology.
  • Ability to adhere to high professional conduct standards.
  • Strong written and verbal communication skills.
  • Excellent customer service skills.
  • Solid investigative and problem-solving abilities.
  • Strong organizational and empathetic interpersonal skills.
  • Valid driver’s license with an acceptable motor vehicle report, if driving is required.

  • Exercises independent judgment in the investigation, evaluation, negotiation, and disposition of moderately complex workers’ compensation claims.
  • Communicates with insureds, agents, and experts regarding coverage and claim status or questions.
  • Initiates contact with insureds and injured workers to explain claims process and begin investigations.
  • Obtains statements from relevant parties and secures evidence as appropriate.
  • Documents all claim activities and activities in the claims system.
  • Researches medical treatment and history to understand claims.
  • Sets and monitors reserves throughout the claim's life.
  • Reviews bills and invoices for accuracy and appropriateness.
  • Notifies legally required parties including the state and other carriers.
  • Negotiates and resolves claims with insureds and claimants.

GoCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationMultitaskingDocumentation

Posted 2024-11-12
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