Claims Adjuster (Workers' Compensation)

Saint Francis Health System

12h • Onsite

About The Position

The Claims Adjuster is responsible for all processes related to Workers' Compensation claims. This role involves receiving, reviewing, investigating, and establishing incident reports, events, claims, and reserves accurately and in a timely manner. The adjuster will also handle the payment and entry of all WC expenses, billing, and medical treatments, as well as reviewing and adjusting reserves, and closing files efficiently. Preparation of legal pleadings and correspondence, maintaining filing and reporting requirements, and managing regulatory OSHA Logs and reporting for SFHS are also key aspects of this position. The role requires independent judgment for non-routine problems under general supervision and involves frequent interaction with patients, internal and external customers, other healthcare professionals, staff, and individuals at the Director level or above.

Requirements

• High School Diploma or GED
• State of Oklahoma Insurance Department Res Co Staff Adjuster - Worker Comp License
• 3 - 4 years related experience
• Excellent interpersonal communication skills
• Ability to type 55 wpm minimum
• Utilize Microsoft Office Suite
• Ability to learn additional software applications
• Ability to multi-task
• Utilize and perform constant decision-making skills

Responsibilities

• Receives, reviews, investigates and establishes incident reports, events, claims and reserves in a timely and accurate manner, including OSHA Log tracking.
• Receives, reviews, pays and enters all WC expenses, billing and medical treatments.
• Reviews and adjusts reserves in an efficient and accurate manner, closing files timely.
• Receives, reviews and prepares all legal pleadings and correspondence.
• Enters file activity and communications in a timely manner.
• Maintains filing and reporting requirements.
• Maintains regulatory OSHA Logs and reporting for SFHS.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED