Workers Compensation Adjuster

FHLB Des Moines; Virginia Beach (VA); Hybrid; USD 60,000 - 94,000; Full time

Benefits offered by this job

Hybrid work schedule

Job summary

City of Virginia Beach is hiring a Workers' Compensation Adjuster in the Risk Management division. The role reviews injury reports, audits medical bills, and coordinates with third-party administrators and attorneys.

The position requires at least five years in workers' compensation claims, a bachelor’s degree, and the ability to manage complex claims in a hybrid work setting with in-office and telework days. Competitive benefits accompany the role.

Qualifications

• 5+ years of experience handling workers' compensation claims
• Experience working with a third-party administrator and attorney coordination
• Bachelor's degree in a related field or equivalent experience
• Knowledge of Virginia Worker's Compensation Act and claims processing

Responsibilities

• Review occupational injuries/illness reports for accuracy and completeness
• Audit medical/prescription bills and approve benefits
• Interview City employees to determine City's liability under the Worker's Compensation Act
• Maintain accurate claims files and submit required reports to the Industrial Commission of Virginia

Skills

Worker's Compensation

Claims Adjuster

Education

Bachelor's degree

Job description

Job Posting End Date:Department:FINANCECompensation Grade:A11Compensation Range & Starting Salary:Pay Range: $60,174.40 - $93,766.40Starting pay: Depending on Qualifications.This position is open until filled. Applications will be reviewed weekly and the posting will close when a qualified candidate has been selected.Job Exempt (If No, Position is eligible for overtime):YesScheduled Weekly Hours:40About Us:Recognized as one of America’s Best-In-State Employers for 2024, the City of Virginia Beach is proud to offer a diverse and dynamic work environment. Our workforce plays a crucial role in delivering exceptional government services to both our citizens and fellow City employees. Apply now to join an organization where you truly make a difference.Job Duties and Preferred Qualifications:Come join the City of Virginia Beach recognized by Forbes as one of America's Best-In-State Employers!The Finance department, responsible for protecting the City's resources in a high-quality, cost effective and innovative environment, is seeking a Worker's Compensation Adjuster for their Risk Management division.We are looking for a dynamic and experienced individual to perform complex responsibilities that include, but are not limited to:Review all reports of occupational injuries and illnesses for accuracy and completeness.Request necessary investigative reports and interview City employees to obtain information required to determine the City's liability under the Worker's Compensation Act.Audit all medical and prescription bills for accuracy and appropriateness and authorize all benefit payments.Conduct training with operational departments on claims processes as needed.Attend monthly department meetings with larger departments to review current claims status.Maintain current and accurate claims files.Submit reports and documents to the Industrial Commission of Virginia in accordance with the Worker's Compensation Act.Perform other job duties requiring skills, knowledge, and physical requirements as demanded by those duties described or less.The ideal candidate for this position will possess the knowledge and experience handling Workers' Compensation claims in Virginia and experience working with a third party administrator and attorney's.Additional preferences are experience using investigative techniques for interviewing employees, experience working in Public Sector Risk Management for a self-insured entity, as well as a Bachelor's degree from an accredited college or universityPosition is Hybrid eligible with 3 days in office and 2 days Work from Home.Additional requirements:• DMV Transcript: Yes/No• CDL: Yes/No• Drug & Alcohol Clearinghouse: Yes/No• CPS Check: Yes/No• Physical: Yes/No• Respirator: Yes/No• Psychological Screening: Yes/No• Polygraph: Yes/NoMinimum Requirements:Minimum Qualifications: Requires any combination of education (above the high school level) and/or experience equivalent to five (5) years in fields utilizing the required knowledge, skills, and abilities, and associated with such positions as claims adjuster handling worker’s compensation claims for an insurance company, claims service company, or self-insurer. Special Requirements: All employees may be expected to work hours in excess of their normally scheduled hours in response to short-term department needs and/or City-wide emergencies.Skills:Worker's CompensationWorking Conditions:Per HR Policy 6.19, Americans with Disabilities, the City follows the requirements of the Americans with Disabilities Act (ADA) in all hiring and employment decisions. The City shall not discriminate on the basis of disability in its hiring and employment practices. The City shall make reasonable accommodations for the known physical or mental limitations of a qualified applicant or employee with a disability upon request unless the accommodation would cause an undue hardship on the operation of the City’s business.The Working Conditions Summary is intended to provide a general overview of the environmental conditions inherent in the job setting, as well as the physical, mental, and sensory requirements necessary to perform the essential functions of the position in the noted job profile. Please copy and paste the URL below into your web browser to view the Working Conditions Summary for this position. https://workingcondition-summary-prod.s3.amazonaws.com/P3414.pdfOfficial Job Descriptions:To browse official job descriptions, please access this link - https://virginiabeach.gov/careers/job-descriptions-pay-plans?search=&group=EVRS Contribution: All full-time employees are required to contribute 5% of annual salary toward their retirement account; in accordance with VRS retirement provisions. This will be handled through a pre-tax payroll deduction.Drug Free Workplace: The City of Virginia Beach maintains a drug free workplace.Equal Employment Opportunity (EEO) Statement: The City of Virginia Beach is an equal opportunity employer and is committed to providing a diverse and inclusive work environment. We do not discriminate against any applicant or employee on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or any other protected status as defined by applicable law.