Senior Workers Comp Claims Adjuster

Ruan Transportation Management Systems; Des Moines (IA); On-site; USD 52,000 - 76,000; Full time

Job summary

Ruan Transportation Management Systems in Des Moines is hiring a Work Comp Claims Adjuster for a hybrid role combining on-site work at our downtown Des Moines campus with remote work. The position requires at least one year of workers' compensation claims adjuster experience, with 3+ years preferred.

This role focuses entirely on workers' compensation claims and follows a Monday–Friday schedule from 8:00 AM to 5:00 PM.

Qualifications

• At least one year of workers' compensation claims adjuster experience is required.
• 3+ years' experience is preferred.

Responsibilities

• Investigate workers' compensation claims by interviewing or corresponding with all parties.
• Determine if additional services are needed and provide referrals: environmental services, independent adjuster, nurse case manager, or legal counsel.
• Oversee the third-party administrator to ensure compliance with claim handling instructions.
• Recommend acceptance or denial of claim within authority.
• Oversee negotiations with claimant or injured worker for settlement within authority.
• Collaborate with internal and external legal counsel for contested claims and prepare documentation.
• Maintain file documentation and required reports (OSHA, DOT, post-accident testing).
• Monitor claim reserves and suggest adjustments as necessary.
• Pursue subrogation when appropriate.
• Perform other duties and special projects as required.

Skills

Claims adjustment

Investigation

Negotiation

Job description

Ruan is now hiring a Work Comp Claims Adjuster to join our team

This is a hybrid role offering mix of on-site work at our downtown Des Moines campus and remote work

At least one year of Work Comp claims adjuster experience is required; 3+ years experience is preferred

This claims adjuster position works 100% on work comp claims

Schedule: Monday - Friday

Hours: 8:00A - 5:00P

Responsible for the analysis, investigation, evaluation, and resolution of workers' compensation claims.

Responsibilities:

Carrying out the Company's organizational values and operating in accordance with applicable laws, regulations, and Company policies are required functions. Essential and other important responsibilities and duties may include, but are not limited to, the following:

• Investigate workers' compensation claims. Interview or correspond with all parties.
• Determine if additional services are needed to bring the claim to resolution and provide appropriate referrals: environmental services, independent adjuster, nurse case manager, and legal counsel.
• Oversee the action of the third party administrator to ensure compliance with Ruan's claim handling instructions.
• Recommend acceptance or denial of claim within authority.
• Oversee negotiations with claimant or injured worker for potential claim settlement within authority.
• If claim is contested, collaborate with internal and external legal counsel to defend Ruan's position. Produce documentation to support Ruan's position. May require participation in legal proceedings.
• Maintain file documentation and all required reports; including OSHA, DOT, and post-accident drug and alcohol testing.
• Monitor for appropriate claim reserves. Make recommendations for adjustments as necessary.
• Protect and pursue subrogation when appropriate.
• Perform other job-related duties and special projects as required.