KY Workers Compensation Claims Adjuster

The Jonus GroupLexington, KY
Onsite

About The Position

Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.

Requirements

  • 2+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
  • Strong knowledge of Kentucky workers’ compensation statutes and regulations.
  • Excellent communication, negotiation, and analytical skills.
  • Ability to manage a high-volume caseload effectively and independently.
  • KY State adjusting license required.

Responsibilities

  • Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
  • Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
  • Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
  • Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
  • Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
  • Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.

Benefits

  • medical
  • dental
  • vision
  • 401(k)
  • PTO
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