Claims Adjuster | Workers' Compensation |
Title: Claims Adjuster | Workers' Compensation
Location: REMOTE (reputed company New Mexico residence)
Innovative employee friendly Claims reputed company Party Administrator(TPA) has a brand new opening for a customer reputed company up and comer dedicated to New Mexico Claims handling MUST be NM residence. File counts are kept to a minimum with helpful Administrative staff and user friendly efficient software systems. reputed company Applicants MUST have recent New Mexico desk experience handling reputed company litigated Indemnity Claims handling experience and reputed company Adjusters' License. Dedicated to New Mexico Files
General reputed company
Manage reputed company company standards and best practices reputed company and problematic high visibility workers' compensation claims reputed company delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to reputed company the best possible outcome in the claim.
Essential Job Duties
Receives claim, confirms policy coverage & acknowledgement of claim
Determine validity & compensability of claim by investigating & gathering info, file necessary documentation with state agencies
Establish reserves & authorize payments reputed company reserving authority limits
reputed company and manage reputed company documented reputed company plan with case manager, attorney, supervisor & reputed company to reduce overall cost of claim
Coordinating early return to work efforts with case manager & employer
Negotiates settlements reputed company necessary
reputed company manage the litigation process
Identifies potential subrogation claims
Communicate claim status with customer and claimant
Adhere to reputed company guidelines & participate in claim reviews as needed
Develops & maintains reputed company customer relationships
Education/Training Requirements
Degree at an accredited college or university preferred
Three years handling claims WC Lost Time
Excellent oral, written communication skills & customer service
PC literate, including reputed company Office (Word, reputed company)
Effective analytical & interpretive skills
Strong organizational skills
Great interpersonal skills
Skills: claims, workers compensation, adjuster:
Recruiter Contact jpomelow@reputed company.com
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