Medical Only Occupational Accident Claims Adjuster, Work Comp Paralegal, Legal Assistant

Transtar Insurance Brokers, Inc.

Occupational Accident Claims Adjuster handling claims investigations and adjustments at Blue Star Claims LLC. Delivering quality claim service and managing relationships with clients and vendors in a dynamic remote environment.

Posted 6/17/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-Level💰 $45,000 - $65,000 per yearWebsite

About the role

Key responsibilities & impact

Investigate and adjust occupational accident claims in accordance with established claims handling procedures using Blue Star guidelines and supervision
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing occupational accident claims
Authorize and make payment of occupational accident claims utilizing our claim processing protocol in accordance with policy language and within authority levels
Process medically necessary and related bills according to Policy provisions
Make supported and educated claim decisions timely
Forecast potential exposure for reserving claims
Have continued contact with policyholders
Negotiate settlements, if appropriate pursuant to the terms of the policy and within authority levels
Deliver quality claim service to clients and be responsive to client needs
Familiarize yourself with jurisdiction challenges you may face and be mindful of potential exposure
Manage your time efficiently and utilize your attention to detail to every claim you work on
Use established forms and modify letters pursuant to Policy provisions
Review and document medical records outlining treatment plan, restrictions and plan of action
Able to identify mechanism of injury vs symptoms vs non-related conditions
Policy review and administration of benefits pursuant to policy terms
Manage claim to optimal resolution; paying for what we owe with relation to the policies we administer
Establish valuable relationships with our Insureds / Motor Carriers / Brokers / Providers / Preferred Vendors
Work as a team player
Be flexible, use initiative and work with minimum of direct supervision
Use discretion and confidentiality required
Clearly communicate verbally and/or in writing both internally and externally
Be organized, a self-starter and prioritize your duties with attention to detail
Perform other duties as assigned

Requirements

What you’ll need

Highschool diploma or equivalent
At least two years of experience in some manner of medical type claims, claims adjusting, paralegal or legal assistant.
Microsoft Office experience
Completion of our pre-employment assessment via the link below.

Benefits

Comp & perks

Competitive salary and potential performance-based bonuses
Medical, dental, and vision insurance
401(k) with company match
Paid time off and holidays
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims handlingclaims adjustingmedical claimspolicy reviewnegotiationtime managementattention to detaildocumentationsettlement negotiationclaims processing

Soft Skills

communicationorganizationteam playerflexibilityinitiativeself-starterdiscretionconfidentialityresponsivenessrelationship building

Certifications

high school diplomaequivalent