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Workers' Compensation Claims Adjuster II

Posted 2024-11-13

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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 SkillsCollaborationMicrosoft ExcelProblem SolvingCustomer serviceMicrosoft OfficeNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationMultitasking

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.
  • Relevant insurance designations preferred.
  • Strong knowledge of insurance contracts and medical terminology.
  • Good written and verbal communication skills.
Responsibilities:
  • 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.
  • Initiates timely contact with insureds and injured workers.
  • Obtains statements and secures appropriate evidence.
  • Documents claim activities and maintains reserves.
  • Communicates with stakeholders to resolve claims and negotiate settlements.
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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.
  • Strong knowledge of insurance contracts, medical terminology, and relevant laws.

  • 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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