Workers Comp Claims Adjuster

Ruan Transportation Management Systems; Des Moines (IA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Ruan Transportation Management Systems in Des Moines, IA, is hiring a Work Comp Claims Adjuster for a hybrid role that blends on-site work at our downtown campus with remote tasks. Candidates should have at least 1 year of workers' compensation claims experience; 3+ years is preferred.

The role focuses entirely on workers' compensation claims, including investigation, evaluation, and resolution, with opportunities to coordinate with legal and nurse case management resources as needed.

Qualifications

• Minimum 1 year of workers' compensation claims experience.
• 3+ years' experience preferred.
• Ability to analyze and resolve claims independently.

Responsibilities

• Investigate workers' compensation claims by interviewing parties and reviewing records.
• Determine needed services and coordinate referrals (legal, nurse case manager, adjusters).
• Oversee third-party administrator to ensure compliant handling.
• Negotiate claim settlements within authority.
• Collaborate with legal counsel on contested claims and prepare supporting documentation.
• Maintain documentation including OSHA, DOT, and post-accident testing.

Skills

Work comp claims experience

Investigation

Negotiation

Documentation

MS Office

Tools

MS Office

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.

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

Responsibilities:

• Investigate workers' compensation. Interview or correspond with all parties to the loss. Examine photographs, surveillance video, statements, medical records, and other supporting documents to determine damages. If necessary, consult with law enforcement to determine liability.
• 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.