Workers' Comp Claims Adjuster: Investigations & Settlements

Westinghouse Air Brake; Seattle (WA); Remote; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

Charles Taylor seeks a Workers' Compensation Claims Adjuster to investigate, administer, and settle workers’ compensation claims with autonomy. The role requires coordinating with clients, claimants, medical providers, and attorneys to determine the best action and ensure timely responses.

Responsibilities include reviewing medical reports, calculating settlements, and negotiating with claimants and counsel. Proficiency in MS Office and knowledge of workers' compensation laws are essential.

Qualifikationen

• 5 years of experience adjusting Workers' Compensation Claims.
• Proficiency in the Microsoft Office suite.
• Knowledge of relevant workers' compensation laws.
• Strong grasp of medical terminology.
• Excellent oral and written communication abilities.
• Attention to detail and good organization skills.
• Ability to negotiate issues and settlements.
• Strong focus on customer service.
• Ability to adapt to changing technologies and learn new systems.
• Ability to establish and maintain effective working relationships.

Aufgaben

• Investigate new claims and initiate timely contacts with clients, claimants, medical providers, and legal counsel to determine appropriate actions.
• Review medical reports and determine eligibility for benefits/payments.
• Calculate settlement and award values, documenting claims with benefits due.
• Negotiate settlements with claimants and attorneys and draw up contracts.
• Respond to excess carrier requests regarding claim status and follow through on recommended actions.
• Meet with clients and account management to conduct claim reviews, presenting cost reports, reserves, active claims, and settlement recommendations.
• Refer claims to defense counsel and participate in litigation claims management to minimize expenses.
• Serve assigned clients as an experienced claims consultant.
• Attend meetings as assigned by the supervisor.

Kenntnisse

Negotiation

Customer service

Attention to detail

Communication

Adaptability

Tools

Microsoft Office

Jobbeschreibung

Charles Taylor seeks a Workers' Compensation Claims Adjuster to investigate, administer, and settle workers’ compensation claims with autonomy. The role requires coordinating with clients, claimants, medical providers, and attorneys to determine the best action and ensure timely responses.

Responsibilities include reviewing medical reports, calculating settlements, and negotiating with claimants and counsel. Proficiency in MS Office and knowledge of workers' compensation laws are essential.