Claims Adjuster (Workers' Compensation)

Saint Francis Health System

170d • Onsite

About The Position

The Claims Adjuster is responsible for processes related to Workers' Compensation claims and reports to the Workers' Compensation Attorney. The role is based at the Workers Compensation department on the Yale Campus in Tulsa, Oklahoma, and is full-time, on a Monday–Friday day schedule from 8:00 a.m. to 4:30 p.m.

The position requires a high school diploma or GED, an Oklahoma Insurance Department Resident Staff Adjuster—Workers' Compensation license, and 3–4 years of related experience. The role involves independent judgment on non-routine problems under general supervision and frequent interaction with patients, customers, healthcare professionals, staff, and individuals at Director level or above.

Requirements

• High school diploma or GED.
• State of Oklahoma Insurance Department Resident Staff Adjuster—Workers' Compensation license.
• 3–4 years of related experience.
• Excellent interpersonal communication skills.
• Type at least 55 words per minute.
• Ability to use Microsoft Office Suite and learn additional software applications.
• Ability to multitask and use and perform constant decision-making skills.

Responsibilities

• Receive, review, investigate, and establish incident reports, events, claims, and reserves accurately and promptly, including OSHA Log tracking.
• Receive, review, pay, and enter Workers' Compensation expenses, billing, and medical treatments.
• Review and adjust reserves efficiently and accurately, and close files in a timely manner.
• Receive, review, and prepare legal pleadings and correspondence.
• Enter file activity and communications in a timely manner.
• Maintain filing and reporting requirements.
• Maintain regulatory OSHA Logs and reporting for SFHS.
• Make decisions involving non-routine problems under general supervision.
• Work with patients and/or customers, internal and external customers, healthcare professionals, staff, and individuals at Director level or above.

What This Job Offers

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