Workers Comp Claims Adjuster

Ruan; United States; Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Disability Insurance

Life Insurance

401k

Paid Time Off

Job summary

Ruan is seeking a Work Comp Claims Adjuster for a hybrid role with on-site Des Moines campus and remote work mix. Candidates should have at least 1 year of Work Comp adjuster experience, with 3+ years preferred.

The role focuses 100% on workers' compensation claims, analyzing, investigating, evaluating, and resolving claims. Responsibilities include interviewing parties, coordinating with third-party administrators, negotiating settlements, and collaborating with legal counsel when needed.

Qualifications

• Education: Bachelor's degree or equivalent work experience.
• Course(s) of Study: Business or related field; Associate in Claims designation preferred.
• Experience: 3–5 years preferred in workers' compensation claims.

Responsibilities

• Investigate workers' compensation; interview all parties and review records to determine damages.
• Oversee third party administrator for compliance with claim handling instructions.
• Recommend acceptance or denial of claims within authority.
• Negotiate settlements with claimants within authority.
• Collaborate with legal counsel on contested claims and provide supporting documentation.
• Maintain file documentation and reports including OSHA/DOT testing.
• Monitor claim reserves and recommend adjustments as needed.
• Pursue subrogation when appropriate.
• Perform other duties and special projects as required.

Skills

Strong communication

Analytical skills

Negotiation skills

Attention to detail

Education

Bachelor's Degree

Associate in Claims

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:

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. 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.

Qualifications

Job Requirements/Minimum Qualifications:

• Education: Bachelors Degree or equivalent work experience
• Course(s) of Study: Business or related field of study; Associate in Claims designation preferred
• Experience: 3-5 years is preferred
• Type of Experience: Claims Experience

Required Knowledge, Skills and Abilities:

• Must be able to commit to Ruan's value statement by acting with integrity in everything we do.
• Must be able to meet behavioral expectations and perform in alignment with our guiding principles: safety, people, customer, performance, and continuous improvement.
• Strong verbal and written communication skills. Demonstrates attention to detail and sense of urgency. Ability to set priorities and accomplish duties of position with minimal direction. Strong analytical, decision making, and negotiating skills. Demonstrated ability to determine liability/responsibility based on various workers' compensation and negligence statutes (comparative, contributory, etc.) at the local, state, and federal levels. Ability to communicate with all levels of management within the company. Willingness to maintain professional and technical knowledge through continuing education.

Benefits:

Ruan provides benefits which include: Medical, Dental, Vision, Disability, Life, as well as 401k and Paid Time off.

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