Workers Compensation Claims Medical Only Adjuster - Hybrid GA

Charles Taylor•Lawrenceville, GA

7d•Hybrid

About The Position

Charles Taylor is seeking an enthusiastic Workers’ Compensation Medical Only Adjuster to join their team in the Lawrenceville, GA office. This is a hybrid role. The Workers Compensation Claims Medical Only Adjuster is responsible for the administration of medical-only, settled and awarded workers’ compensation claims. The right person will maintain timely correspondence and determine the best course of action with low to medium levels of autonomy while working closely with clients, their employees and attorneys as a new to experienced claims professional.

Requirements

Working knowledge of state law and procedures for handling post award and/or medical only workers compensation claims.
Familiarity with medical terminology is essential.
Exceptional communication and interpersonal skills.
Detail-oriented with strong organizational and time management skills.
Excellent customer service and telephone skills.
Continuing education and seminars related to changing laws and regulations.
Ability to work in a team environment under direct management direction to complete assignments.

Nice To Haves

College degree is preferred.

Responsibilities

Investigate new claims and initiate timely contacts with clients, claimants and medical providers to determine compensability.
Review medical reports and determine eligibility for benefits / payments.
Confirm settlement and award values, documenting claims with benefits due.
Negotiate buy-out settlements when appropriate and authorized.
Respond to excess carrier requests regarding claim status and follow through on recommended actions.
Reserve files to reflect lifetime / statutory medical exposures.
Ability to meet defined adjuster job performance expectations including remaining responsive within the same day to management, clients, claimants and others during assigned core business hours, pre-approved by the supervisor.
Refer claims occasionally to defense counsel, remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses.
Meet with clients and account management to conduct claim reviews. This involves virtual meetings to present cost reports, reserves, active claims and settlement recommendations.
Performs other duties and attend meetings as assigned by your Supervisor.