GA, NC, SC, Workers' Compensation Claims Adjuster

The Jonus Group • Atlanta, GA

1d • Remote

About The Position

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 Claims throughout the Southeast US. This person would be required to investigate 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. 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.

Requirements

• 5-10 years of Workers' Compensation claims handling experience.
• Active licenses in one or more of the following: NC, SC, and/or GA
• Litigation Experience Required.
• Strong verbal and written communication skills.

Responsibilities

• 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.

Benefits

• Annual bonus potential
• Flex schedule
• Ability to work remotely
• 401k Plan
• Health and Dental Plan
• Generous PTO

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed