What are the responsibilities and job description for the Claims Adjuster - Workers Compensation - Remote position at Techlink Systems?
Job Title: Claims Adjuster - Workers Compensation
Location (On-site, Remote, or Hybrid?): Bartlesville, OK (remote)
Contract Duration: Contract until 05/10/2025
DESCRIPTION:
- 3 plus years of WC claims handling experience in multiple SE states
- Only workers compensation experience, no other lines of business considered
PRIMARY PURPOSE:
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
- Maintains professional client relationships.
Salary : $40 - $45
