This position as Med-Only Workers Compensation Adjuster requires that you have at least 3 years of workers comp claims adjusting. You will be investigating claims, determining if the claim is payable and managing the care of the injured employee.
Attributes include:
- Ability to solve practical problems and to work independently.
- Ability to be resourceful and prioritize.
- Good interpersonal skills.
- Ability to build and maintain relationships with insureds, injured workers and attorneys.
- Fluent English is required. Spanish speaking is a plus.
The position involves:
- Determining coverage on new claims.
- Contacting employer for initial investigation.
- Contacting employee/injured worker for information – recorded statements
- Reviewing medical bills to determine if payment is proper and referral of those bills for audit.
- Filing necessary forms with the Industrial Commission.
- Determining appropriate reserves for claims.
- Determining when claims need medical case management services and arranging the necessary care.
- Corresponding with attorneys on legal issues.
- Attending mediations and hearings.
***THIS IS A SALARIED POSITION plus Quarterly Incentives***
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Professional development assistance
- Referral program
- Vision insurance
Schedule:
Work setting:
Experience:
- Workers Compensation Claims Adjusting: 3 years (Required)
License/Certification:
- NPN# (Required)
- License in NC, SC ,TN ,VA (Preferred)
Work Location: Remote