Lost Time Adjuster

AcrisureNashville, TN
Onsite

About The Position

Next Level Administrators is seeking a Lost Time Claims Adjuster to join its Workers’ Compensation Claims Department. This role is responsible for managing lost time workers’ compensation claims from assignment through resolution while ensuring timely, accurate, and compliant claim handling. The adjuster will investigate claims, evaluate liability and exposure, manage litigation and medical activity, maintain reserves, and support claim resolution strategies. This position is ideal for a claims professional who is comfortable managing multiple priorities, navigating complex claims issues, and working in a fast paced environment. Candidates with multi-state workers’ compensation claims experience and exposure to lost time claims are highly beneficial.

Requirements

  • Ability to manage multiple priorities in a fast paced environment
  • Analytical mindset with attention to detail and sound decision-making ability
  • Clear verbal and written communication skills
  • Ability to work independently and collaboratively within a team environment
  • Professional and customer-focused approach when working with clients and claimants
  • Proficiency with Microsoft Office applications and ability to learn new systems
  • Ability to maintain required adjuster licenses and continuing education requirements

Nice To Haves

  • Multi-state workers’ compensation claims experience beneficial
  • Lost time workers’ compensation claims experience beneficial
  • Exposure to litigation management and settlement negotiations beneficial
  • Bachelor’s degree beneficial
  • Active adjuster licensing beneficial or ability to obtain licensing as required
  • Multi-state licensing beneficial

Responsibilities

  • Manage a desk and caseload of workers’ compensation claims in an efficient and professional manner
  • Investigate claims thoroughly, including coverage, liability, and exposure analysis
  • Evaluate claim exposure and maintain accurate and timely reserves
  • Manage litigation activity and coordinate with defense counsel as needed
  • Evaluate claims for settlement and negotiate resolutions with claimants and attorneys
  • Monitor and manage medical treatment activity and claim progression
  • Maintain accurate, timely, and organized claim documentation within the claims system
  • Ensure claim payments are processed accurately and timely
  • Support timely and compliant claim resolution strategies
  • Maintain communication with employers, injured workers, attorneys, medical providers, and clients throughout the claims process
  • Participate in required training and maintain knowledge of assigned state workers’ compensation statutes
  • Perform additional duties and projects as assigned

Benefits

  • Comprehensive medical insurance
  • Dental insurance
  • Vision insurance
  • Life and disability insurance
  • Fertility benefits
  • Wellness resources
  • Paid sick time
  • Generous paid time off and holidays
  • Employee Assistance Program (EAP)
  • Complimentary Calm app subscription
  • Immediate vesting in a 401(k) plan
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options
  • Commuter benefits
  • Employee discount programs
  • Paid maternity leave
  • Paid paternity leave (including for adoptive parents)
  • Legal plan options
  • Pet insurance coverage
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