What are the responsibilities and job description for the State Workers' Insurance Fund Claims Adjuster position at Commonwealth Of Pennsylvania?
THE POSITION
Are you an analytically minded individual that enjoys solving complex projects involving insurance claims and litigation? If so, considering joining the State Workers' Insurance Fund (SWIF) as a Claims Adjuster. This position gives you the opportunity to showcase your specialized skillset as you i nvestigate, process, and manage reported work-related claims and injuries for employees of policy holders covered by our organization to determine compensability. Take pride in knowing your work is helping Pennsylvanian's in need, apply today!
DESCRIPTION OF WORK
As a Claims Adjuster, you will be tasked with completing investigations for reported incidents and claims, processing acceptance or denial within an established timeframe. Work involves determining if pre-existing conditions may impact a claim; identifying potential fraud; and making recommendations if excess use of physical therapy or medical equipment is identified. Effective communication is essential as you will have the opportunity to correspond with with claimants, employers, doctors, hospitals, and witnesses to determine eligibility for workers' compensation benefits. You will also be responsible for monitoring claims, creating fact-based claims, and accurately completing all required forms. Additional responsibilities include :
- Recommending use of Independent Medical Examinations (IME)
- Issuing ongoing indemnity payments
- Determining liability on all medical bills
- Processing claim payment related vouchers
Apply today to become part of our team as we strive to contribute to a progressive, stable workers' compensation market in Pennsylvania!
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information :
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements :
Additional Requirements :
Commonwealth employees who wish to use their seniority rights must apply to the internal posting for their seniority rights to be considered.
How to Apply :
Veterans :
Telecommunications Relay Service (TRS) :
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
