Workers' Compensation Claims Adjuster - REMOTE

Westinghouse Air Brake; Seattle (WA); Remote; USD 70,000 - 100,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Negotiation

Customer service

Attention to detail

Communication

Adaptability

Tools

Microsoft Office

Job description

Job Summary

The Workers' Compensation Claims Adjuster is responsible for the investigation, administration, and settlement of workers’ compensation claims. This position requires maintaining timely correspondence and determining the best course of action with a high level of autonomy while working closely with clients, claimants, and attorneys.

Essential Functions

• 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 occasionally to defense counsel and remain directly involved in litigation claims management to reach desired outcomes and minimize expenses.
• Serve assigned clients as an experienced claims consultant.
• Attend meetings as assigned by the supervisor.

Requirements

• Bilingual in English/Spanish a plus.
• 5 years of experience adjusting Workers Compensation Claims in Illinois required.
• Proficiency in the entire Microsoft Office suite.
• Knowledge of relevant workers compensation laws.
• Strong grasp of medical terminology.
• Familiarity with medical cases and typical treatment progression.
• Excellent oral and written communication abilities.
• Attention to detail and good organization skills.
• Ability to negotiate issues and settlements.
• Strong focus on customer service, including timely response to requests/inquiries.
• Ability to adapt to changing technologies and learn functionality of new equipment and systems.
• Ability to establish and maintain effective working relationships with others.

Benefits

Competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance, and a 401(k) with match.

AAP/EEO Statement

Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/family status, race, religion, sex, or sexual orientation. Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.