Sr Claims Adjuster - Workers Compensation

Job Title: Workers Compensation Lost Time

Job Location: Hunt Valley MD or Camp Hill MD (Remote)

Job Type: Contract (3 months)

Job Description:

As a member of our claims team utilize your knowledge of Workers Compensation to independently investigate evaluate and resolve assigned claims of a more complex nature to achieve appropriate outcomes. In this position you will administer and resolve the highest risk management expectations claims promptly in accordance with legal statutes policy provisions and company guidelines.

Responsibilities:

• Promptly investigate all assigned claims with minimal supervision including those of a more complex nature
• Determine coverage compensability potential for subrogation recovery and second injury fund (when applicable)
• Alert Supervisor and Special Investigations Unit to potentially suspect claims
• Establish appropriate reserves with documented rationale maintain and adjust reserves over the life of the claim to reflect changes in exposure
• Negotiate claims settlements with client approval
• Establish and implement appropriate action plans for case resolution including medical and disability management litigation management negotiation and disposition
• Select and manage service vendors to achieve an appropriate balance between allocated expense and loss outcome
• Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced
• Demonstrate technical proficiency through timely consistent execution of best claim practices

Requirements:

• Bachelors degree or four or more years of equivalent work experience required in an insurancerelated industry required
• At least 35 years of experience handling lost time workers compensation claims is required; experience with Maryland and West Virginia jurisdiction is required
• Associate in Claims (AIC) Designation or similar professional designation desired.
• Active license required or ability to obtain license within 90 days of employment in mandated states.
• Familiarity with medical terminology and/or Workers Compensation