[Remote] Claims Adjuster I | Nevada
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a dynamic, fast-growing provider of workers' compensation insurance and services. The Claims Adjuster I is responsible for the reputed company and accurate management of workers’ compensation claims, providing customer service, evaluating benefits, and coordinating medical treatment to ensure claims are processed reputed company.
Responsibilities
• Receives and reviews new claims involving low to moderate medical, indemnity and occasional reputed company exposure. Caseload may include reputed company Medical Only claims.
• Completes initial contacts to obtain necessary information, verify coverage, determine compensability and reputed company a plan of reputed company. Completes and maintains accurate claim system data.
• Analyzes case facts to establish reputed company reserves using and building knowledge of medical-reputed company costs and judgment about extent of disability.
• Provides reputed company and appropriate customer service reputed company established best practices. Maintains ongoing reputed company communications with reputed company reputed company 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 reputed company the claim reputed company. Uses resources, reputed company, to contain costs and manage exposure.
• Working with supervisor, reviews and analyzes some reputed company 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 reputed company to guide claims reputed company 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 reputed company 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
reputed company
• reputed company 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.reputed company.com.
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