Workers' Compensation Disability Adjuster

Wcf-Insurance; St. George (VT); Hybrid; USD 69,000 - 87,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401K with 6% employer match

Employee Assistance Program (EAP)

Vacation time off

Job summary

WCF Insurance is seeking an experienced Workers’ Compensation Disability Adjuster to handle Nevada and Utah claims. The role involves investigating claims, determining coverage and liability, and coordinating with injured workers, policyholders, medical providers, and others to move claims toward resolution.

The position is full-time with hybrid work options (3 days in office) and requires residency within 50 miles of Sandy, St. George, or Las Vegas. Onboarding starts at the Sandy home office.

Qualifications

• Minimum of 2 years of workers' compensation disability adjusting experience.
• Strong understanding of Nevada DIR rules and procedures and/or Utah statutes and regulations.
• Medical terminology knowledge.
• Excellent communication and interpersonal skills.

Responsibilities

• Manage workers' compensation disability claims from initial report through resolution.
• Investigate claims, document findings, and determine coverage and liability.
• Review medical records and coordinate with medical providers, policyholders, and other stakeholders.
• Ensure compliance with applicable statutory and regulatory requirements.

Skills

Claims investigation

Communication skills

Detail-oriented

Analytical abilities

Licensing readiness

Job description

WCF Insurance is an “A” rated, innovative property and casualty carrier with more than a century of experience serving businesses across the Western United States. Since 1917, we have built our reputation on doing the right thing, being great at what we do, and helping others succeed. As we continue to grow, we are looking for individuals who share these values and want to contribute to delivering an excellent insurance experience.Position OverviewWCF Insurance is looking for an experienced Workers’ Compensation Disability Adjuster handling Nevada and Utah claims to join our Claims team. This role is a great opportunity for someone who enjoys investigating claims, working with a variety of people, and helping move claims toward successful resolution while delivering a positive experience along the way.This is a full time, exempt position that offers the opportunity for hybrid work (3 days per week in office.)This role may be filled at the Disability Adjuster or Senior Adjuster level, based on experience and qualifications.Candidates must reside within 50 miles of one of the following offices:Sandy, UtahSt. George, UtahLas Vegas, NevadaAll new hires are required to attend onboarding at our home office in Sandy, Utah for their first week of employment with WCF Insurance. Training will then continue in person at the designated office location.ResponsibilitiesThe Worker's Compensation Disability Adjuster is responsible for managing claims from initial report through resolution, including:Investigating claims, documenting findings, and determining coverage and liabilityManaging industrial accident and occupational disease claimsReviewing and interpreting medical records and supporting documentationCoordinating the legal, medical, and disability components of each claimCollaborating with injured workers, policyholders and agents, medical providers and vendors, internal WCF departments, and Jurisdictional Divisions of Industrial Relations and other stakeholders.Ensuring compliance with all applicable statutory and regulatory requirementsQualificationsThe ideal candidate will have:Minimum of 2 years of workers' compensation disability adjusting experienceStrong understanding of Nevada DIR rules and procedures and/or Utah statutes and regulationsWorking knowledge of medical terminologyExcellent communication and interpersonal skillsStrong investigative, organizational, and analytical abilitiesHigh attention to detailMulti-line claims experience (preferred)Licensing Requirement: Candidates residing outside Nevada must obtain a Nevada adjuster license within 45 days of hire, as required by state law.BenefitsWCF Insurance offers an extensive compensation package. Benefits include:Medical, dental, and vision insurance.Company paid life insurance401K with a generous 6% employer matchEmployee Assistance Program (EAP)Time off to volunteer in the local communityAll employees earn 4 weeks of vacation their first year.The expected salary range for this position is 69,400.00-86,700.00. This salary range depends on experience, education, and location for this specific position.Current WCF EmployeesPlease apply through the \"Internal Job Postings\" tab within your employee Workday account.ValuesThe person in this position must demonstrate the WCF values of doing the right thing, being great at your job, and helping others succeed to fulfill the company’s mission of excellence.Working ConditionsThis position is based in an office environment with adequate temperature and lighting control. There are no known hazardous or unpleasant conditions caused by noise, dust, or other environmental factors. There are potentially high-stress situations that require meeting deadlines. The employee must meet the job attendance requirements for this position.Our PeopleWCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive.WCF Insurance is an Equal Opportunity EmployerWCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.