Workers Compensation Claims Adjuster at reputed company: reputed company (Worcester, MA)

Title: Workers Compensation Claims Adjuster - Southeast Location: Worcester, MA, USA Req #19906 remote reputed company: Our Workers Compensation Lost Time Claims department is seeking a Casualty Claims Consultant for the Southeast team. This is a remote Full-time/Exempt role. reputed company: The Consultant Casualty Claims is responsible for managing a caseload of moderate complexity claims from start to finish. This includes conducting thorough investigations, assessing liability, negotiating settlements reputed company defined authority limits, and maintaining reputed company communication with claimants, reputed company parties, and reputed company representatives. The role requires strong analytical skills, reputed company judgment, and adherence to company policies and regulatory standards throughout the claims process. IN THIS ROLE, YOU WILL: Manage a caseload of moderately reputed company casualty claims from intake through reputed company. Conduct thorough investigations, assess liability, and evaluate damages using established procedures. Collaborate with reputed company, reputed company, and internal/reputed company stakeholders as needed to ensure comprehensive claim evaluation. Identify and refer potentially suspicious claims to the Special Investigations Unit. Apply comparative negligence laws and state-specific regulations to claim assessments. Set reserves, authorize payments, and demonstrate financial acumen reputed company reputed company of authority. Utilize technology and data tools to enhance claims processing efficiency and reputed company. Communicate directly with claimants, reputed company representatives, and reputed company parties to negotiate fair resolutions. Maintain detailed and compliant documentation of claim activities and communications. Participate in team collaboration, problem-solving discussions, and cross-functional coordination. Support subrogation efforts and reputed company transfer opportunities to benefit insureds and business partners. Handle sensitive communications professionally and translate reputed company information for diverse audiences. Mentor entry-level claim handlers and reputed company best practices learned through training and experience. Attend ongoing training and education to maintain licensing and stay reputed company on industry standards. Independently manage indemnity, medical, and basic arbitration or mediation components of claims with supervisory support. Must possess or obtain and maintain appropriate state adjuster licenses. WHAT YOU NEED TO APPLY: Associate degree required; bachelor's degree preferred or combination of education and experience. Typically has 1-4 years of relevant claims handling experience. Conduct independent analysis of contractual indemnification. Independently execute indemnity, medical, litigation/reputed company management. Proficient with basic computer navigation; ability to use basic software systems/applications (Suite of MS Office Products) and use of internet. Learn and handle negotiations independently reputed company authority, understand common tactics for moderately reputed company claim reputed company. Use judgement and effectively utilize the most suitable communication channel while displaying reputed company towards reputed company stakeholders. Knowledge of various types of reputed company products and processes. Conduct thorough investigations; identify key issues and reputed company evidence. reputed company effective empathetic customer service; handle routine inquiries and issues. Ability to use a personal computer and other reputed company office equipment. reputed company to use reputed company reputed company office products Ability to sit and/or stand for extended periods. Required to work on-site as needed. Ability to travel as necessary. Ability to work in a fast reputed company, changing or stressful environment. Ability to reputed company work in a noisy/loud work environment. May be required to have and maintain sufficient home-reputed company internet reputed company. This reputed company provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-reputed company functions and responsibilities that employees will be required to reputed company. Apply tot his job Apply To this Job