[Remote] Claims Adjuster I | Nevada

Note: The job is a remote job and is open to candidates in USA. EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services. The Claims Adjuster I is responsible for the timely and accurate management of workers’ compensation claims, providing customer service, evaluating benefits, and coordinating medical treatment to ensure claims are processed efficiently. Responsibilities • Receives and reviews new claims involving low to moderate medical, indemnity and occasional legal exposure. Caseload may include complex Medical Only claims. • Completes initial contacts to obtain necessary information, verify coverage, determine compensability and develop a plan of action. Completes and maintains accurate claim system data. • Analyzes case facts to establish timely reserves using and building knowledge of medical-related costs and judgment about extent of disability. • Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. • Accurately evaluates and pays benefits in compliance with statutory and company guidelines. Files appropriate state forms, as needed. • Proactively coordinates or monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. • Working with supervisor, reviews and analyzes some legal issues. In collaboration with defense attorneys, proactively handles and mitigates exposure to litigation and prices up claims for minor settlements. • Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Skills • 1 to 2 years of Nevada workers' compensation claims experience. • Knowledge of workers’ compensation laws, regulations and statutes. • Excellent communication and customer service skills and knowledge of an imaged environment. • Self-motivated with excellent analytical, problem solving and decision-making skills. • Strong ability to multi-task and prioritize. • Must meet certification within state-mandated timeframe and maintain any required license through continuing education. • WCCP, AIC, ARM, CPCU or other insurance certification preferred. Education Requirements • Bachelor’s degree or the above experience preferred. Benefits • Comprehensive benefits package Company Overview • Employers is a provider of workers' compensation insurance for small businesses. It was founded in 1913, and is headquartered in Reno, Nevada, USA, with a workforce of 501-1000 employees. Its website is http://www.employers.com. Apply tot his job Apply To this Job