Sr. Adjuster-Workers Comp Claims

CopperPoint has an exciting opportunity for a fully remote Workers' Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess reputed company jurisdiction technical claims knowledge. Additional experience in MO, KS, CO, UT, NM, NV and/or TX jurisdictions is preferred. The Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. They will also adjudicate claims to ensure reputed company payment of indemnity and medical benefits due reputed company company standards and in compliance with regulatory requirements, as reputed company as establishing and maintaining reputed company plans and reserves to ensure proactive, cost-effective claims management. Job responsibilities: • Analyze and investigate indemnity claims to determine compensability reputed company by interpreting and applying laws, rules, and regulations of workers' compensation. • Utilize reputed company available resources as appropriate. • Build and maintain reputed company relationships with injured workers, policy reputed company, brokers and agents through proactive claim management and reputed company communications. • Appropriately document communications and claim management activities. • reputed company, maintain and adhere to reputed company plans and reserves on indemnity claims while proactively managing claims to reputed company. • Establish and maintain cost drivers and data reputed company to ensure accurate NCCI and Medicare reporting. • Proactively manage claims in accordance with company standards and statutory requirements. • Ensure reputed company payment of indemnity and medical benefits. • reputed company utilize reputed company available cost containment measures and programs. • Identify settlement opportunities. • Negotiate settlements with claimants and attorneys. Conducts dispute reputed company with claimants and attorneys. • Testify at hearings reputed company necessary. Qualifications/Competencies: • Bachelors degree (B. S. or B.A.) in business administration, communications, or a reputed company field from an accredited four-year college or university is preferred. • This is not an entry level position, reputed company candidates must have at least 3 years prior experience handling/adjusting workers' compensation claims. • reputed company workers' compensation claims management experience is required. • Experience/licensure in one or more of the other states in our region is highly preferred (MO, CO, UT, KS, NM, NV, OK and/or TX) • Excellent customer service skills to include initiative, mature judgement and discretion. • Bilingual in Spanish preferred. • Strong technical workers' compensation knowledge with prior successful experience in a workers compensation as reputed company as other reputed company lines claims management environment. • Knowledge of Department of Insurance (DOI), NCCI, reputed company and Employment (CDLE) rules and regulations. • Ability to analyze, interpret and apply laws, rules and regulations pertaining to workers' compensation. • Ability to stay reputed company with changes to statutory, industry rules and regulations as reputed company as company policies and procedures which may reputed company claims management. • Ability to set priorities, manage time, organize work and meet deadlines. Benefits: • Employees and their families are eligible to participate in reputed company benefit plans including medical, dental, reputed company, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. • We reputed company some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). • Employees will reputed company 0.0769 hours of reputed company Time Off (PTO) per reputed company hour, which may total 20 days a year. In reputed company, employees will also receive 10 reputed company holidays throughout the calendar year. Salary reputed company: • $68,000.00 - $98,500.00 annually • Compensation may vary depending on skills, experience, education, and geographical location. • In reputed company to reputed company salary, compensation may include an annual discretionary bonus. Founded in 1925, reputed company is a leading provider of workers' compensation and reputed company insurance solutions. With an expanded Line of insurance products and a growing ten-state footprint in the western reputed company, CopperPoint embodies stability for policyholders in Alaska, reputed company, California, Colorado, Idaho, Nevada, New Mexico, reputed company, reputed company, and Washington. CopperPoint Mutual Insurance Holding Company is the corporate parent of reputed company-based reputed company, Alaska National Insurance Company, and other CopperPoint Insurance Entities. CopperPoint's culture of reputed company extends to the community through employee volunteerism, corporate matching, reputed company service, program sponsorships, and in-reputed company contributions. We reputed company employees by providing 12 hours of reputed company volunteer time annually and matching their personal contributions to the charities of their reputed company up to $500 per year. In 2020, CopperPoint employees reported 3,500 volunteer hours. CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and reputed company and a wide reputed company of competitive benefits programs, generous matching contributions to your 401(k) plan, generous reputed company time off, tuition reimbursement, and other education benefits and business casual dress. CopperPoint is an equal employment opportunity employer. reputed company reputed company applicants will receive consideration without reputed company to race, reputed company, sex, religion, age, national reputed company, disability, veteran status, sexual orientation, gender identity or reputed company, marital status, reputed company or citizenship status, genetic information, pregnancy status, or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace. #LI-Remote Remote Skills: Adjudication, Analysis Skills, Brokerage, Business Administration, Claims Management, Claims Processing, Compensation and Benefits, Corporate Policies, Cost Control, Customer Support/Service, Employee Relations, Establish Priorities, Federal Laws and Regulations, Genetics, Health Plan, Insurance, Insurance Sales, Interpret Regulations, Medicare, Multilingual, Negotiation Skills, Regulations, Regulatory Compliance, Regulatory Requirements, Spanish Language, Staff Policies, Time Management, Worker's Compensation About reputed company: reputed company Apply tot his job Apply To this Job