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Workers' Compensation Claims Adjuster

Heartland Security Insurance Group

Remote, TX | Full Time

$63k-79k (estimate)

3 Months Ago

Workers' Compensation Claims Adjuster

$63k-79k (estimate)

Full Time | Lending & Credit 3 Months Ago

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Heartland Security Insurance Group is Hiring a Remote Workers' Compensation Claims Adjuster

About Us

At Heartland, we are focused on results, not corporate politics. We foster a harmonious work environment where associates feel like family. We strive to be the employer of choice, and believe all of our associates should have fun at work! We are hardworking – but not at the expense of our families. At Heartland, you will find an entrepreneurial environment where we take the time to educate, coach and lead employees into further opportunities within our company. We want all of our associates to enjoy a good work-life balance and are welcomed in our environment. We strive to show our employees that they are more than just a number and viewed as an integral part of our organization.

Heartland recognizes the importance of a quality benefits package, not only to our associates, but to their families. That’s the Heartland way. Our generous benefit package includes (but is not limited to) Paid Time Off, Health Insurance, Life Insurance, Long Term Disability, Employee Assistance Program, and two retirement plans.

At Heartland, we go out of our way to make our associates feel at home and celebrate their achievements and contributions to the company. Our environment consists of several appreciation events throughout the year and we encourage every employee, near & far, to join us with their families to enjoy good food, fun and comradery. Our benefits package, appreciation events, and fun work environment go above industry standard. We want our employees to feel like family – so we treat them like family.

**Candidates must be located in Texas**

Workers' Compensation Claims Adjuster

Primary Responsibility

The Claims Adjuster will manage an assigned caseload of medical only and lost time Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. The Claims Representative will adjudicate medical only and lost time Workers' Compensation files according to applicable law.

Essential Functions & Responsibilities

Manage assigned caseload of workers’ compensation claims.
Make decisions about compensability, set reserves and negotiate settlements.
Interact with claimants, clients, medical providers and other third party representatives throughout the claims process.
Timely initial contacts and investigation of new claims.
Verify coverage.
Take recorded statements as needed.
Document files daily on every conversation and action taken.
Identify and address subrogation issues.
Start and stop indemnity benefits timely and accurately.
Complete jurisdictional forms timely and accurately.
Monitor ongoing medical treatment.
Request second medical opinions as needed.
Request surveillance appropriately.
Work mail and diary on a daily basis.
Client visits as required.
Preparation and handling of hearings

Additional Functions & Responsibilities

Communicates directly with client.
Prepares reports and other analytical data as requested by the management team.

Required Qualifications

Must hold a valid Workers’ Compensation Adjuster license.
Must have at least 2-3 years of experience handling indemnity workers’ compensation claims.
High school diploma.
Ability to follow instructions, procedures and rules.
Must have strong attention to detail.
Must have good written and oral communication skills.
Must be well organized and the ability to multi-task.
Basic computer skills in MS Word, Excel and Outlook.
Fast, accurate data entry

Preferred Qualifications

College degree in business or other related discipline.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Lending & Credit

SALARY

$63k-79k (estimate)

POST DATE

04/06/2024

EXPIRATION DATE

07/02/2024

WEBSITE

heartlandsig.com

HEADQUARTERS

Tyler, TX

SIZE

50 - 100

INDUSTRY

Lending & Credit

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The following is the career advancement route for Workers' Compensation Claims Adjuster positions, which can be used as a reference in future career path planning. As a Workers' Compensation Claims Adjuster, it can be promoted into senior positions as a Claims Adjuster III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Workers' Compensation Claims Adjuster. You can explore the career advancement for a Workers' Compensation Claims Adjuster below and select your interested title to get hiring information.