Workers Compensation Adjuster II Role
3 days ago
Overview: As a Workers' Compensation Adjuster II, you will play a crucial role in ensuring that insurance claims are handled efficiently and effectively. You will be responsible for investigating claims, evaluating coverage, and negotiating settlements or declinations with insureds, claimants, and medical providers.
Responsibilities:
- Investigate claims and determine coverage by contacting involved parties.
- Evaluate claims and establish, maintain, and adjust reserves based on facts, company standards, and experience.
- Negotiate claims to achieve quick resolutions.
- Develop effective relationships with internal counsel for customized defense plans.
- Communicate with internal managed care and medical resources to ensure coordination with medical providers, injured workers, and employers.
Requirements:
- Bachelor's degree or equivalent experience.
- 3+ years WC claims handling experience.
- Demonstrated proficiency with MS Office suites.
- Demonstrated skills in investigation, evaluation, and negotiation.
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