The Jonus Group-posted 3 days ago
$70,000 - $85,000/Yr
Full-time • Mid Level
Remote • Atlanta, GA

Our client is seeking to add a Senior Workers' Compensation Claims Adjuster that would have the ability to work remotely . Responsibilities include moderate to complex Workers Compensation C laims throughout the Southeast US . This person would be required to i nvestigate claims via telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. This position is fully remote. Process assigned claims and determine benefits due pursuant to the client contract . Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. M ake timely claims payments and adjustments ; co mmunicate claim action/processing with claimant and client. Ensure claim files are properly documented and claims coding is correct. P rovide comprehensive, complete thorough analysis of coverage determination . Prepare detailed reports, review and prepare responsive correspondence to achieve settlement .

  • Investigate claims via telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
  • Process assigned claims and determine benefits due pursuant to the client contract.
  • Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner.
  • Make timely claims payments and adjustments
  • Communicate claim action/processing with claimant and client.
  • Ensure claim files are properly documented and claims coding is correct.
  • Provide comprehensive, complete thorough analysis of coverage determination.
  • Prepare detailed reports, review and prepare responsive correspondence to achieve settlement.
  • 5-10 years of Workers' Compensation claims handling experience.
  • Active licenses in one or more of the following: NC, SC, GA, and AL
  • Litigation Experience Required.
  • Strong verbal and written communication skills.
  • Annual bonus potential
  • Flex schedule and ability to work remotely
  • 401k Plan
  • Health and Dental Plan
  • Generous PTO
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service