Sr. Claims Adjuster, Workers' Compensation

CopperPoint Insurance Companies

3d • Remote

About The Position

CopperPoint Insurance Company has an exciting opportunity for a full-time remote Sr. Claims Adjuster, Workers' Compensation. The Sr. Claims Adjuster, Workers' Compensation will investigate, manage, and resolve claims in a timely, unbiased, and informed manner in compliance with policies, state laws, and regulatory performance standards.

Requirements

• High school graduate, Bachelor’s degree preferred
• 5 years or greater of Workers’ Compensation adjusting experience
• In-depth knowledge of Workers’ Compensation laws
• Knowledge of medical and legal terminology and procedures
• General computer skills
• Excellent written and verbal communication skills
• Strong interpersonal skills
• Effective negotiation skills
• Ability to prioritize workload to meet deadlines
• Ability to work well in a team environment

Nice To Haves

• Bilingual in Spanish preferred

Responsibilities

• Knowledge of policy documents for coverage verification.
• Provide account servicing support on claim issues to policyholders including travel as required.
• Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements.
• When necessary, attend In-Person meetings with injured workers, employers, and medical providers.
• When necessary, assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action.
• Follow up with injured workers, policyholders, and medical providers to monitor progress.
• Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
• Maintain electronic files necessary for documentation of the claim file including coding, contacts, financial data, and plan of action.
• Review reserves for appropriateness and file timely reports on all serious loss claims as required by ANIC policy and regulatory standards.
• Promote the team approach to case and account management.
• Perform other duties as assigned.
• Bilingual in Spanish preferred, pay differential available.

Benefits

• medical
• dental
• vision
• short-term disability
• long-term disability
• life insurance
• health savings account
• flexible spending account
• 401k plan
• Basic Life Insurance and AD&D at two times an employee’s annual salary
• Employee Assistant Plan
• Paid Time Off (PTO)
• 10 paid holidays
• tuition reimbursement
• other education benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Senior