Senior Claims Adjuster

Woodrow Cross • Augusta, ME

1d

About The Position

The Cross Family of Agencies is seeking a Claims Adjuster to join their Claims Management Division. This role requires a strong understanding of Maine Workers' Compensation claims and the ability to manage multiple priorities in a fast-paced environment. The Claims Adjuster will be responsible for accurate claims adjudication, effective communication with various stakeholders, and maintaining corporate excellence.

Requirements

• High school graduate required
• Minimum 3 years Maine Workers' Compensation claim adjusting or paralegal experience necessary.
• Maine Workers' Compensation adjusters’ license required.
• Highly developed organizational skills and ability to establish priorities.
• Mathematical/accounting aptitude and excellent analytical, problem-solving abilities required.
• Ability to anticipate needs and exercise independent judgment.
• Strong interpersonal skills to deal effectively with all levels of the organization, the public and customers with tact and diplomacy.

Nice To Haves

• BA/BS degree preferred.

Responsibilities

• Gains basic knowledge of Department Errors and Omissions Exposures and implementation of Department E&O Procedures.
• Ensures optimum performance in this function and recommends and implements techniques to increase productivity or department procedures.
• Develops and maintains an image of corporate excellence and teamwork with emphasis on professional and credible customer service and company relations.
• Accurate claims adjudication by assessing all information to determine compensability.
• Interfaces with Self Insured Management Team, claims management division personnel, insureds, health providers and attorneys.
• Partners with employer in effective claims management.
• Reviews and authorizes payments.
• Complies with all state mandated and contractual requirements.
• Maintains positive and effective co-worker relations, focusing on team goals and objectives, courteous and considerate communications, and accurate assistance and support to others as needed.

What This Job Offers

• Career Level: Senior
• Education Level: High school or GED