Workers Compensation Claims Adjuster, III
Intercare Holdings Insurance Services
full-time
Posted on:
Location Type: Office
Location: Virginia • United States
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About the role
- Reports directly to the unit Claims Supervisor.
- Responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident.
- Document ongoing case facts and relevant information necessary for establishing compensability, disability payments, and what is being done to move the case toward closure.
- Assure that all assigned indemnity claims have an up to date plan of action.
- Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments.
- Initiate the referral to the SIU of cases with suspected fraud.
- Review and approve all vocational rehabilitation plans.
- Exhibit a courteous and helpful attitude and project a professional image on behalf of the company.
Requirements
- Bachelor's degree (B. A.) from four-year college or university; or five+ years related experience and/or training; or equivalent combination of education and experience.
- Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues.
- 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
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims handlingindemnity claims managementvocational rehabilitationmedical managementsubrogationdisability paymentscase documentationfraud investigation
Soft Skills
communicationprofessionalismcourtesypartnership building