Work Comp Claims Adjuster

Frankenmuth Insurance Company

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, and liability in accordance with policy provisions by performing the following duties.

Requirements

Two to four years related experience and/or training; or associate's degree (A.A.) from two-year college/technical school; or equivalent combination of education and related experience/training.
A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.

Nice To Haves

wage loss experience in the states of MI/IN

Responsibilities

Follows corporate policies, procedures, and fair claims handling practices
Investigates claims to determine validity and extent of liability, including:
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.
Within defined authority, manages, evaluates and concludes claims. Prepares and maintains claim reports.
May provide extensive interaction with insureds, agents, claimants, attorneys, and other service providers, including:
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.