Defense-Based Workers' Comp Claims Adjuster

Heartland Security Insurance Group; Dallas (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

Heartland Security Insurance Group (via Contract Claims Services, Inc.) seeks an Adjuster in Dallas to manage medical-only and lost-time workers’ compensation claims from initial report to resolution. You’ll evaluate liability, reserves, and settlements, coordinating with claimants, clients, attorneys, and third parties to ensure timely, fair outcomes.

Join a team committed to integrity and professional development, with training focused on enhancing claims-management skills and delivering

Responsibilities

• Manage assigned caseload of workers’ compensation claims.
• Make decisions about compensability, set reserves and negotiate settlements.
• Assigns, when necessary, appropriate vocational rehabilitation for the purposes of a labor market survey.
• Coordinates, when necessary, light duty accommodation with AAFES’ Human Resources Center.
• Determines whether an injured worker is a Medicare beneficiary or possibly receiving SSDI benefits and assigns, when necessary, a Medicare Set-Aside to CCS Medicare Services.
• Interact with claimants, clients, attorneys, representatives of the U.S. Department of Labor, medical providers and other third-party representatives throughout the claims process.
• Assess worst probable exposure and apply appropriate reserving practices.
• Timely initial contacts and investigation of new claims.
• Prepares reports and other analytical data as requested by the management team.
• Independently identify and resolve most common claim file issues.
• Prepare for and/or represent the Employer at Informal Conferences.
• Adjust extent of disability claims to include Labor Market Surveys and Loss of Wage-Earning Capacity (LWEC) calculations.
• Accurately calculate present value of LWEC claims and prepare settlement memos/analysis.
• Negotiate settlements.

Job description

Heartland Security Insurance Group (via Contract Claims Services, Inc.) seeks an Adjuster in Dallas to manage medical-only and lost-time workers’ compensation claims from initial report to resolution. You’ll evaluate liability, reserves, and settlements, coordinating with claimants, clients, attorneys, and third parties to ensure timely, fair outcomes.

Join a team committed to integrity and professional development, with training focused on enhancing claims-management skills and delivering