Senior Lost-Time Workers' Comp Claims Adjuster

Questpro Consultants LLC; Atlanta (GA); On-site; USD 60,000 - 85,000; Full time

Job summary

Questpro Consultants LLC represents a growing MGA specializing in Workers' Compensation, seeking Lost Time Claims Adjusters in Atlanta. You will manage claims efficiently while delivering outstanding customer service, reporting to the Claims Manager, using negotiation and analysis to assess payable claims and ensure compliance.

Ideal candidate has 5 years of WC claims handling, at least 3 years Lost Time adjusting; must be fluent in English; Spanish a plus.

Qualifications

• 5 years of Workers' Compensation Claims handling.
• Lost Time adjusting for at least 3 years.
• Ability to solve practical problems and to work independently.
• Good interpersonal skills.
• Ability to build and maintain relationships with insureds, injured workers and attorneys.
• Fluent English is required. Spanish speaking is a plus.

Responsibilities

• Determining coverage on new claims.
• Contacting employer for initial investigation.
• Contacting employee for information — recorded statements.
• Reviewing medical bills to determine if payment is proper and referral of those bills for audit.
• Filing necessary forms with the Industrial Commission.
• Determining appropriate reserves for claims.
• Determining when claims need medical case management services and arranging the necessary care.
• Corresponding with attorneys on legal issues.
• Attending mediations and hearings.
• Preferred states for claims handling: NC, SC, GA, KY, TN

Skills

Workers' compensation claims

Lost Time adjusting

Negotiation

Analysis

Communication

Bilingual English/Spanish

Job description

Questpro Consultants LLC represents a growing MGA specializing in Workers' Compensation, seeking Lost Time Claims Adjusters in Atlanta. You will manage claims efficiently while delivering outstanding customer service, reporting to the Claims Manager, using negotiation and analysis to assess payable claims and ensure compliance.

Ideal candidate has 5 years of WC claims handling, at least 3 years Lost Time adjusting; must be fluent in English; Spanish a plus.