Workers Compensation Claims Adjuster II
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Job Location:
Glendale, WI - USA
Yearly Salary:
$ 80000 - 98000
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Workers Compensation Claims Adjuster
Job Summary
Seeking an experienced and detail-oriented Workers Compensation Claims Adjuster to manage indemnity claims from initial report through resolution. This role requires a strong understanding of workers compensation laws and regulations the ability to evaluate complex claims and a commitment to timely compliant and customer-focused claim handling. Responsibilities include investigation documentation collaboration with vendors and medical partners and proactive claim resolution.
Responsibilities
- Conduct three-point contact on all new losses within required timeframes including outreach to the claimant employer and treating physician
- Investigate claims thoroughly to establish compensability disability status and treatment plans
- Maintain accurate and timely documentation of all claim activity medical updates and expense payments
- Develop and maintain an up-to-date action plan for each assigned indemnity claim to drive timely resolution
- Partner with medical case management to support early return-to-work initiatives and minimize extended disability exposure
- Coordinate the use of vendors as needed to support claim investigation and resolution
- Identify and refer suspected fraudulent claims to the appropriate special investigations unit
- Ensure compliance with applicable workers compensation laws regulations and internal guidelines
Compensation Package
- Base salary range: $80000 $98000 annually (depending on experience)
- Competitive benefits package paid time off professional development opportunities etc.
Qualifications / Requirements
- 3 5 years of workers compensation claims handling experience
- Demonstrated experience managing indemnity claims
- Familiarity with applicable workers compensation regulations and procedures
- Experience with 4850 claims handling or SIP exposure
- Strong organizational analytical and communication skills
Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.
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Key Skills
- Load & Unload
- Organizational skills
- Financial Concepts
- Fraud
- Math
- Mediation Experience
- Pricing
- Conflict Management
- Workers' Compensation Law
- Medicare
- negotiation
- Workers' Compensation
About Company
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