Temp Workers Compensation Claims Adjuster I
Intercare Holdings Insurance Services
full-time
Posted on:
Location Type: Hybrid
Location: Virginia • United States
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Job Level
About the role
- Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions
- Three-point contact, initial investigation, initial benefit determination
- Ability to identify and address questionable (AOE/COE) claims
- Establish and monitor reserves at periodic intervals
- Prepare claims status report to carriers at 90-day intervals
- Ability to manage and direct medical care, including strategies to maintain medical control and objection when appropriate
- Identify and rate permanent disability
- Vocational Rehabilitation file management
- Negotiate and finalize claim settlements as well as lien settlements
- Identify and manage subrogation issues on workers’ compensation claims
- Work independently and in a fast paced environment.
Requirements
- At least 1-3 years experience as a Workers’ Compensation Claims Assistant, or up to one year Trainee or Future Med Adjuster experience
- Bachelor’s degree (B.A.) and six months experience
- Requires a working knowledge of Virginia and/or general workers compensation claims process and the legal requirements for handling them.
Benefits
- WFH Flexible 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords
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Hard Skills & Tools
insurance claims analysisclaims settlementinitial investigationbenefit determinationreserve managementclaims status reportingmedical care managementpermanent disability assessmentvocational rehabilitation managementsubrogation management
Soft Skills
independent workfast-paced environment managementnegotiation