Field Case Manager – Workers' Comp Adjuster

Jobtailor

Richmond (VA)

On-site

USD 55,000 - 75,000

Full time

3 days ago

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Job summary

Jobtailor in Richmond, VA, is seeking an experienced Workers' Compensation claims examiner to manage investigations, determine compensability, establish reserves, and issue benefits. This on-site role requires collaboration with injured workers, employers, medical and legal professionals, and regular travel within the territory.

The candidate should have strong communication, self-direction, and familiarity with proprietary software and Microsoft Office; a state license for workers' compensation

Qualifications

Claims experience highly preferred.
Bachelor's degree or related professional business experience acceptable.
State license to handle Workers' Compensation claims if required.
Professional written and verbal communication skills required.
World class customer service attitude required.
Ability to learn and use proprietary software and Microsoft Office products.
Ability to be self-directed.
Valid driver's license, acceptable driving record, and acceptable vehicle required.
Frequent travel within a designated territory required.
Must complete pre-employment screening, including a criminal background check and 10-panel drug test.

Responsibilities

Conduct on-site and in-person investigations.
Determine claim compensability.
Establish reserves.
Document decision making.
Issue benefit payments.
Make notifications to the State administrative authority.
Work with injured workers, employers, medical professionals, and legal professionals.
Ensure appropriate benefits are provided under applicable Workers' Compensation Laws.
Travel frequently within a designated territory, with rare overnight travel.

Skills

Claims Management

Investigation Techniques

Decision Documentation

Benefit Payment Issuance

Reserve Establishment

Customer Service Attitude

Self-Direction

Verbal Communication

Written Communication

Education

Bachelor's degree / related professional business experience

Tools

Microsoft Office

Proprietary Software

Job description

Conduct on-site and in-person investigations
Determine claim compensability
Establish reserves
Document decision making
Issue benefit payments
Make notifications to the State administrative authority
Work with injured workers, employers, medical professionals, and legal professionals
Ensure appropriate benefits are provided under applicable Workers' Compensation Laws
Manage a target caseload of 60 claims
Travel frequently within a designated territory, with rare overnight travel

Requirements

Claims experience highly preferred
Bachelor's degree or related professional business experience acceptable
State license to handle Workers' Compensation claims if required
Professional written and verbal communication skills required
World class customer service attitude required
Ability to learn and use proprietary software and Microsoft Office products
Ability to be self-directed
Valid driver's license, acceptable driving record, and acceptable vehicle required
Frequent travel within a designated territory required
Must complete pre-employment screening, including a criminal background check and 10-panel drug test

Core Competencies

Demonstrates expertise in managing Workers' Compensation claims, including conducting investigations, determining claim compensability, and ensuring compliance with applicable laws. Strong communication and customer service skills are essential for effective collaboration with injured workers, employers, and medical professionals.

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