Medical Only Work Comp Claims Adjuster

Frankenmuth Insurance Company

78d

About The Position

Under general supervision and following standard procedures with independent judgment, investigates, evaluates and resolves/disposes of workers compensation claims to determine the extent of company liability; may include determination and evaluation of coverage, compensability, liability and damage in accordance with policy provisions by performing the following duties.

Requirements

• Two to four years related experience and/or training
• Associate's degree (A.A.) from two-year college/technical school; or equivalent combination of education and related experience/training
• Ability to work legally in the United States; no visa sponsorship/support available.

Responsibilities

• Follows corporate policies, procedures, and fair claims handling practices
• Investigates claims to determine validity and extent of liability
• Obtains information necessary to properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses and others
• Reviews and evaluates documentation, including applications, reports, and statements
• Monitors appropriate claim outcomes through self-audit process
• Delivers superior customer service to policyholders and agents, ensuring appropriate and timely resolution of claims service issues
• Ensures legal, regulatory and fair claims handling compliance
• Sets or recommends reserves based on results of claim investigation
• Manages, evaluates and concludes claims within defined authority
• Prepares and maintains claim reports
• Conducts in-depth interviews and/or scene inspections
• Attends settlement conferences and/or trials
• May serve as a member of project teams, contributing to the achievement of project objectives
• Performs other duties as assigned.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees