Senior Claims Adjuster: Expert Negotiation & Analysis

LEI Cross Financial Corp; Augusta (ME); Sur place; USD 50 000 - 70 000; Plein temps

Résumé du poste

The Cross Family of Agencies seeks a Claims Adjuster in Maine to manage workers' compensation claims within the Claims Management Division. The candidate should have a high school diploma (BA/BS preferred) and at least 3 years of relevant experience, plus an active Maine adjuster license.

Strong negotiation, analytical, and communication skills are essential. Responsibilities include accurate adjudication, payments, compliance with regulations, and collaboration with health providers, attorneys,

Qualifications

• High school graduate required; BA/BS degree preferred.
• Minimum 3 years Maine Workers' Compensation claim adjusting or paralegal experience.
• Maine Workers' Compensation adjusters’ license required.
• Strong organizational skills and ability to establish priorities; mathematical/accounting aptitude and analytical, problem-solving abilities.
• Strong interpersonal skills to interact with the public, customers and coworkers with tact and diplomacy.

Responsabilités

• Gains basic knowledge of Department Errors and Exposures and E&O Procedures.
• Ensures optimum performance and recommends techniques to increase productivity.
• Maintains image of corporate excellence and teamwork with emphasis on professional customer service.
• Accurately adjudicates claims by assessing information to determine compensability.
• Interfaces with Self Insured Management Team, claims management division personnel, insureds, health providers and attorneys; partners with employer in claims management.
• Reviews and authorizes payments.
• Complies with state mandates and contractual requirements; fosters courteous and supportive coworker relations.

Connaissances

Effective communication

Negotiation skills

Analytical problem solving

Multitasking

Presentation skills

Formation

High school diploma

BA/BS degree preferred

Description du poste

The Cross Family of Agencies seeks a Claims Adjuster in Maine to manage workers' compensation claims within the Claims Management Division. The candidate should have a high school diploma (BA/BS preferred) and at least 3 years of relevant experience, plus an active Maine adjuster license.

Strong negotiation, analytical, and communication skills are essential. Responsibilities include accurate adjudication, payments, compliance with regulations, and collaboration with health providers, attorneys,