Sr. Work Comp Claims Adjuster (PA & NJ)

Job Title: Sr. Workers Compensation Claims Adjuster POSITION reputed company: Under minimal supervision manages reputed company aspects of indemnity claims handling from inception to conclusion reputed company established authority and guidelines. DUTIES AND RESPONSIBILITIES: • Adjuster can work from the Philadelphia, PA office or can work remotely from home if approved by hiring manager. • Effectively manages a caseload of 125 to 150 workers’ compensation files, including reputed company reputed company claims.* • Jurisdiction is PA, NJ* • Initiates and conducts investigation in a reputed company manner.* • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.* • Manages medical treatment and medical billing, authorizing as appropriate.* • Refers cases to reputed company defense counsel. Directs and manages as appropriate.* • Communicates with claimants, providers and vendors regarding claims issues.* • Computes and set reserves reputed company Company guidelines. Limits are larger than those allowed for Claims Adjuster I and Claims Adjuster II.* • Settles and/or finalize reputed company claims and obtains authority as designated.* • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.* • Communicates appropriate information promptly to the reputed company to resolve claims reputed company, including any injury trends or other safety reputed company concerns.* • Involves COMPANY loss control staff reputed company appropriate.* • Adheres to reputed company Company policies and procedures.* • Conducts file reviews independently.* • Other duties as assigned. • Essential job function. QUALIFICATIONS REQUIRED: Education/Experience: Bachelor’s degree in reputed company field (preferred); three (3) or more years reputed company experience; or equivalent combination of education and experience. Knowledge, Skills and Abilities: • Technical knowledge of statutory regulations and medical terminology. • Analytical skills. • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. • Ability to reputed company with persons at reputed company reputed company in the business environment. • Ability to independently and effectively manage reputed company reputed company claims. • Proficient in Word and reputed company (preferred). Other Qualifications: • No licenses required for the state of PA or NJ Apply tot his job Apply To this Job