drjobs Adjuster I, Workers' Compensation

Adjuster I, Workers' Compensation

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1 Vacancy
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Job Location drjobs

Knoxville, TN - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

The purpose of this job is to investigate and resolve incidents of workers compensation claims.

  1. Investigate evaluate and resolve Medical Only and/or Lost Time employee injury claims
  2. Facilitate and coordinate injured team members medical care calculate and pay benefits based on statutory guidelines
  3. Manage document analyze negotiate and settle claims
  4. Manage and control claim related documentation including Personally Identifiable Information (PII) and Health Insurance Portability and Accountability Act (HIPAA) related information
  5. Provide reserve recommendation to Pilot Corporate Management for cases processed by TPA and applicable in-house claims
  6. Resolve conflicts with claims in collaboration with senior or more tenured adjuster
  7. Collaborate with defense counsel on litigation closure strategy
  8. Manage litigation to obtain favorable outcome and resolution
  9. Focus on loss prevention and hazard correction during claim handling
  10. Model behaviors that support the companys common purpose; ensure guests and team members are supported at the highest level
  11. Ensure all activities are in compliance with rules regulations policies and procedures

 


Qualifications :

  • High school diploma or equivalent certification required
  • Associates degree in business or related field preferred
  • Minimum three years experience in related work experience preferred
  • Intermediate Microsoft Office skills
  • Strong Excel skills
  • Strong conflict resolution and problem-solving skills
  • Ability to handle multiple tasks meet deadlines and work independently
  • Professional demeanor when communicating in person email or phone
  • Ability to work in a fast-paced environment
  • Strong attention to detail

 


Additional Information :

  • Travel required less than 5%
  • General office work requiring sitting or standing for long periods of time

 


Remote Work :

No


Employment Type :

Full-time

Employment Type

Full-time

Company Industry

About Company

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