Claim Adjuster - Workers Compensation

Location
Nashville, Tennessee
Salary
Salary commensurate with experience. Excellent benefits package with generous PTO bank.
Posted
Jun 21, 2019
Closes
Aug 20, 2019
Category
Claims
Job Type
Full Time

SUMMARY

Investigates and evaluates workers compensation losses while developing a plan of action to bring claims to proper resolution in a timely manner.   Experience level preferably between 3 - 5 years.

JOB REQUIREMENTS:

  • Determines extent of insurance coverage and compensability for new claims and pensioner claims
  • Investigates claims, including interviewing employees, employers, witnesses
  • Obtains necessary records, including but not limited to, hospital records, police reports, physician records, etc.
  • Utilizes appropriate preferred vendors
  • Monitors/directs medical treatment
  • Handles Medicare subrogation issues
  • Presents thorough and accurate reports to clients
  • Attends meetings; conferences; workshops or training sessions; and reviews written material to maintain current knowledge on principles, practices and new developments in assigned work areas
  • All other duties as assigned

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

  • Ability to understand and follow oral and/or written policies, procedures and instructions
  • Ability to perform a wide variety of duties and responsibilities with accuracy and speed, while meeting time-sensitive deadlines
  • Ability to conduct investigations in multi-party situations
  • Ability to use standard or customized software applications appropriate to assigned tasks
  • Ability to prepare and present accurate, reliable and factual reports with  recommendations
  • Ability to handle confidential information
  • Ability to communicate effectively with others both orally and in writing
  • Ability and willingness to learn quickly and utilize new skills as a result of rapidly changing information and/or technology
  • Will work onsite at local office as well as onsite with client

Required Experience:

Should have 3 - 5 years experience in handling either workers’ compensation claims.  A college degree or equivalent business experience needed.