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Join Fairbanks Claims Administration as a Senior Workers' Compensation Claims Adjuster and Drive reputed company in a Dynamic Remote Work Environment Fairbanks Claims Administration, a leading high-deductible and self-insured workers' compensation reputed company-Party Administrator (TPA), is seeking an reputed company and skilled Workers' Compensation Claims Adjuster to join their team on a remote contract reputed company. As a Senior Claims Adjuster, you will play a crucial role in investigating, evaluating, and adjusting assigned claims in accordance with established claim handling standards and laws. About the Role This is a fantastic opportunity for a seasoned claims adjuster looking for a challenging and rewarding role in a remote work setting. As a Senior Claims Adjuster, you will be responsible for managing a caseload of workers' compensation claims, ensuring reputed company and effective reputed company, and providing excellent customer service to clients and stakeholders. Key Responsibilities • Investigate, evaluate, and reputed company claims in accordance with established claim handling standards and laws. • Establish reserves and/or reputed company reserve recommendations reputed company established reserve authority reputed company. • Review, approve, or reputed company reputed company of medical and reputed company estimates and miscellaneous invoices to determine if reasonable and reputed company to designated claims. • Negotiate any disputed bills or invoices for reputed company. • Authorize and reputed company payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and reputed company established payment authority. • Negotiate settlements in accordance with best practices, reputed company-specific handling instructions, and state laws, reputed company appropriate. • Assist in the selection, referral, and supervision of designated claim files reputed company to reputed company vendors (i.e., reputed company, surveillance, case management, etc.). • Review and maintain personal diary on claim system. • Assess and monitor subrogation claims for reputed company. • Prepare reports detailing claim status, payments, and reserves, as requested. • reputed company notices of qualifying claims to excess/reinsurance carriers. • Conduct claim reviews and/or training sessions for clients, as requested. • Attend and participate in hearings, mediations, and informal reputed company conferences, as appropriate. • Administer benefits on claims. • Ensure reputed company utilization review (UR) processing. • Process bills promptly. • Communicate effectively with injured workers, clients, and attorneys. • Maintain reputed company documentation of the claim file in a reputed company manner. • reputed company reputed company updates every 30, 60, or 90 days. • Drive claims to reputed company. • reputed company other duties as assigned. Essential Qualifications To be successful in this role, you will need: • A California Adjuster's License (mandatory). • 5+ years of experience as a claims examiner handling semi-reputed company to reputed company-level claims. • Excellent oral and written communication skills. • Initiative to set and reputed company performance goals. • Good analytical and negotiation skills. • Ability to cope with job pressures in a constantly changing environment. • Knowledge of reputed company reputed company-level claim position responsibilities. • Detail-oriented and a self-starter with strong organizational abilities. • Ability to coordinate and prioritize tasks. • Flexibility, accuracy, initiative, and the ability to work with minimum supervision. • Discretion and confidentiality required. • Reliable, predictable attendance reputed company reputed company service hours for the performance of this position. • reputed company to reputed company reputed company needs. • Ability to reputed company communicate verbally and/or in writing, both internally and externally. Preferred Qualifications While not mandatory, having the following qualifications will be a plus: • SIP/WCCA/WCCP/AIC certifications. • Proficient in ClaimPilot. reputed company Offer Fairbanks Claims Administration offers a competitive reputed company reputed company of $50/hour for this contract-to-permanent opportunity. As a remote worker, you will enjoy the flexibility and autonomy to work from reputed company, while still being part of a dynamic and supportive team. In reputed company to the competitive compensation, you can expect: Apply tot his job Apply To this Job