CLAIMS ADJUSTER III-WKRS COMP

MARTA • Atlanta, GA

2d

About The Position

Position posted until a viable pool of candidates has been established
EDUCATION and/or EXPERIENCE
Bachelor's Degree in Business Administration, Insurance, or a related field and four (4) years experience in the administration, negotiation, adjudication, and resolution of Workers' Compensation claims (preferably with a Georgia self-insurer). Professional experience can be substituted on a year-for-year basis in lieu of a college degree. Thorough knowledge of Georgia Workers' Compensation laws required. Extensive background in processing claims of a catastrophic nature required.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Investigates, analyzes, evaluates, negotiates, and/or adjudicates claims for Workers' Compensation benefit entitlement in accordance with all applicable rules and regulations as promulgated by the Georgia State Board of Workers' Compensation.
2. Evaluates findings and prepares written reports, documents conclusions and recommends actions, based on any analysis of such findings.
3. Works closely with claimant employees, supervisors, attending physicians, rehabilitation providers, and various departments of the State Board of Workers' Compensation in an effort to return employees to gainful employment as soon as possible.
4. Ensures that medical and indemnity payments are issued timely and in accordance with all applicable State of Georgia Workers' Compensation Rules and Regulations, and/or conditions governing each specific claim. Ensures that all state required reports are filed timely and that claim files are properly maintained.
5. Provides information and assistance to MARTA's General Counsel in the resolution of claims in litigation.
6. Assures that claims eligible for subrogation and Subsequent Injury Trust Fund are pursued in a timely manner.
7. Performs other related duties as assigned.
AMERICANS WITH DISABILITIES ACT
If you are a qualified individual with a disability, you have the right to request that MARTA make reasonable accommodations in order to help you accomplish your work, which must still be performed in all its essential functions.
MARTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.
Classification: Exempt
Number of Openings: 1
Salary Range: $51,516-$77,274
Grade: 16

Requirements

• Bachelor's Degree in Business Administration, Insurance, or a related field and four (4) years experience in the administration, negotiation, adjudication, and resolution of Workers' Compensation claims (preferably with a Georgia self-insurer).
• Professional experience can be substituted on a year-for-year basis in lieu of a college degree.
• Thorough knowledge of Georgia Workers' Compensation laws required.
• Extensive background in processing claims of a catastrophic nature required.

Responsibilities

• Investigates, analyzes, evaluates, negotiates, and/or adjudicates claims for Workers' Compensation benefit entitlement in accordance with all applicable rules and regulations as promulgated by the Georgia State Board of Workers' Compensation.
• Evaluates findings and prepares written reports, documents conclusions and recommends actions, based on any analysis of such findings.
• Works closely with claimant employees, supervisors, attending physicians, rehabilitation providers, and various departments of the State Board of Workers' Compensation in an effort to return employees to gainful employment as soon as possible.
• Ensures that medical and indemnity payments are issued timely and in accordance with all applicable State of Georgia Workers' Compensation Rules and Regulations, and/or conditions governing each specific claim. Ensures that all state required reports are filed timely and that claim files are properly maintained.
• Provides information and assistance to MARTA's General Counsel in the resolution of claims in litigation.
• Assures that claims eligible for subrogation and Subsequent Injury Trust Fund are pursued in a timely manner.
• Performs other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level