What are the responsibilities and job description for the Workers Compensation Claims Adjuster position at Imagine Staffing Technology?
Job Description
Job Description
Job Profile
Job Title
Workers Compensation Claims Adjuster
Location
Remote
Hire Type
Contingent
Hourly
Work Model
Monday – Friday
Contact Phone
443 ) -345-3305
Contact Email
sean@marykraft.com
Nature & Scope : Positional Overview
Mary Kraft is seeking an experienced Workers Compensation Claims to analyze mid- and higher-level workers’ compensation claims to determine benefits due, ensuring ongoing adjudication in line with company standards and industry best practices. This role is also responsible for identifying subrogation opportunities and negotiating settlements.
Role & Responsibilit y :
Tasks That Will Lead To Your Success
- Investigate and gather information to assess claim exposure, and develop well-structured action plans for timely resolution of complex or technically challenging workers’ compensation claims.
- Negotiate claim settlements within designated authority levels, ensuring that benefits are accurately calculated and paid.
- Calculate and assign timely, appropriate reserves to claims and continuously monitor reserve adequacy throughout the claim’s lifecycle.
- Prepare and submit necessary state filings within statutory limits; manage the litigation process to ensure cost-effective and timely claim resolution.
- Coordinate with vendors for additional investigations or litigation management, utilizing cost containment techniques and strategic vendor partnerships to reduce overall claim costs.
- Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security / Medicare offsets.
- Communicate claim activities and processes professionally with claimants and clients, maintain accurate documentation, and ensure proper claims coding.
- Refer cases to supervisors as appropriate and provide technical assistance as needed.
Skills & Experience :
Qualifications That Will Help You Thrive
Salary : $50
