Work Comp Claims Adjuster

Frankenmuth Insurance Company

About The Position

Under limited supervision and 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.

Requirements

WI and MI experience
Ability to work legally in the United States
Four to six years related experience and/or training; or bachelor's degree (B.A.) from four-year college/university; or equivalent combination of education and related experience/training
No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process

Responsibilities

Follows corporate policies, procedures, and fair claims handling practices
Investigates claims to determine validity and extent of liability, including obtaining 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
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
Provides leadership to junior staff by training and providing guidance
May provide input to management regarding junior staff performance
Performs other duties as assigned