Workers' Compensation Claims Adjuster
November 11
Description
• Exercises independent judgment in investigation, evaluation, negotiation and disposition of workers’ compensation claims. • Communicates with insureds, agents and experts regarding coverage and claim status. • Reviews and evaluates the claim notice, lawsuits, contracts, state statutes and policies to verify coverage. • Initiates contact with insureds and injured workers to explain the claims process and start investigation. • Secures statements, video, and evidence, recommends hiring experts when necessary. • Documents claim activities, reserve analysis, and summaries of reports in claims system. • Researches medical treatment and diagnosis to understand claimants' injuries and medical history. • Monitors timely reserves in compliance with the company’s philosophy throughout the life of the claim. • Secures and reviews necessary reports, claim forms and documents.
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
Benefits
• Outstanding benefits with life, medical, dental, vision and prescription drug coverage • Competitive paid time off plan and a full day of volunteer time off annually • Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards • Professional development and growth opportunities, including tuition reimbursement • Wellness initiatives to improve team member well-being and reduce health insurance costs • Flexibility to dress for your day and opportunities for alternative work arrangements
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