Claims Adjuster – Workers Compensation

Ag Risk Management

Not Specified, United States Full-time in Other
    • Job ID 1801871

    Job Description

    Background As the result of increasing workloads, we are currently seeking candidate to expand our team as a Claims Adjuster to handle worker s compensation claims. Past experience in managing these types of claims is essential. Position will be remote but the candidate must live in MN. Compensation is competitive and will be commensurate with the candidate s qualifications and experience. Key Objectives: This will be a full time/permanent post to work on a portfolio of run-off business which includes worker s compensation claims as well as Personal Injury Protection claims. You will be responsible for handling and resolving claims. This includes determining case strategy, analyzing liabilities as well as setting appropriate reserves, negotiating settlements, dealing with counterparties effectively, and ensuring payments are timely processed and providing management reporting on claims. Summary of Responsibilities: Workers Compensation Claims adjuster to handle claims from multiple jurisdictions including but not limited to Minnesota, New York, Texas, Connecticut, California, Florida, New Jersey, Pennsylvania, and Michigan. Analyze worker s compensation claims to determine benefits due; work with claims involving litigation and rehabilitation; identify subrogation claims and negotiate settlements. Utilization of cost containment protocols to include Second Injury Fund submissions. Monitor reserve adequacy and update reserves as appropriate within authority level. Interact positively with agents and other external parties. Document claim system file in a clear manner. Draft claim status reports for claim file and client to request authority as well as periodic filing requirement. Compliance with regulatory rules to include familiarity with state EDI submissions.

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