Job description

TEMP-TO PERM POSITION - WORK REMOTE - WORK FROM HOME:

- WORKERS COMPENSATION CLAIMS ADJUSTER / EXAMINER

- To Manage WC Lost Time Claims from inception to closure.

- This is a possible Temp-to-Perm position.

- Requires WC Claims Experience for Louisiana, Mississippi, North Carolina, South Carolina, Virginia

Position Summary:

Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.
Essential Duties & Responsibilities:

• Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
• Interacts extensively with various parties involved in the claim process.
• Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.
• Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.
• Processes claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements.
• Demonstrated ability to comply with carrier reporting and threshold requirements.
• Able to recognize and pursue excess insurance recoveries. Incumbents will have the ability to handle a full case load, with proven ability to handle cases of increased severity

Required:

• High School Diploma
• WC Lost Time Claims experience handling LA, MS, NC, SC, VA States.
• Adjuster License
• Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software

Desired:

• Bachelor's Degree

Work Traits:

• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
• Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

Job Types: Contract, Temporary, Full-time

Pay: $38.00 - $40.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Workers Compensation Claims: 4 years (Required)
• Lost Time Claims: 4 years (Required)

Work Location: Remote

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