Workers Compensation Claims Medical Only Adjuster Hybrid GA

Lawrenceville, NJ - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking an enthusiastic Workers Compensation Medical Only Adjuster to join our team in the Lawrenceville GA office. This is a hybrid role.

Position Summary
The Workers Compensation Claims Medical Only Adjuster is responsible for the administration of medical-only settled and awarded workers compensation claims. The right person will maintain timely correspondence and determine the best course of action with low to medium levels of autonomy while working closely with clients their employees and attorneys as a new to experienced claims professional.

Essential Functions

Investigate new claims and initiate timely contacts with clients claimants and medical providers to determine compensability.
Review medical reports and determine eligibility for benefits / payments.
Confirm settlement and award values documenting claims with benefits due.
Negotiate buy-out settlements when appropriate and authorized.
Respond to excess carrier requests regarding claim status and follow through on recommended actions.
Reserve files to reflect lifetime / statutory medical exposures.
Ability to meet defined adjuster job performance expectations including remaining responsive within the same day to management clients claimants and others during assigned core business hours pre-approved by the supervisor.
Refer claims occasionally to defense counsel remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses.
Meet with clients and account management to conduct claim reviews. This involves virtual meetings to present cost reports reserves active claims and settlement recommendations.
Performs other duties and attend meetings as assigned by your Supervisor.

Qualifications & Requirements

Working knowledge of state law and procedures for handling post award and/or medical only workers compensation claims.
Familiarity with medical terminology is essential.
Exceptional communication and interpersonal skills.
Detail-oriented with strong organizational and time management skills.
Excellent customer service and telephone skills.
Continuing education and seminars related to changing laws and regulations.
Ability to work in a team environment under direct management direction to complete assignments.
College degree is preferred.

Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical dental vision disability life insurance and 401(K) with match. If you are seeking a career where you can achieve great things in a supportive and collaborative environment then we may be the place for you.

Values
At Charles Taylor our values define our identity principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility Integrity Care Accountability and Collaboration.

Equal Opportunity Employer
Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age disability gender identity marital/ family status race religion sex or sexual orientation.

Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful inclusive and diverse culture and environment which we are proud to be a part of at Charles Taylor.

About Charles Taylor
Charles Taylor is an independent global provider of claims solutions insurance management services and technology platforms for all property and casualty markets including commercial property workers compensation and auto/liability. We offer complex loss adjusting technical services third-party administration and managed care programs with specialization in catastrophic aviation energy and marine claims. With over 100 years of expertise at our core we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.

Essential Functions

Investigate new claims and initiate timely contacts with clients claimants and medical providers to determine compensability.
Review medical reports and determine eligibility for benefits / payments.
Confirm settlement and award values documenting claims with benefits due.
Negotiate buy-out settlements when appropriate and authorized.
Respond to excess carrier requests regarding claim status and follow through on recommended actions.
Reserve files to reflect lifetime / statutory medical exposures.
Ability to meet defined adjuster job performance expectations including remaining responsive within the same day to management clients claimants and others during assigned core business hours pre-approved by the supervisor.
Refer claims occasionally to defense counsel remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses.
Meet with clients and account management to conduct claim reviews. This involves virtual meetings to present cost reports reserves active claims and settlement recommendations.
Performs other duties and attend meetings as assigned by your Supervisor.

Qualifications & Requirements

Working knowledge of state law and procedures for handling post award and/or medical only workers compensation claims.
Familiarity with medical terminology is essential.
Exceptional communication and interpersonal skills.
Detail-oriented with strong organizational and time management skills.
Excellent customer service and telephone skills.
Continuing education and seminars related to changing laws and regulations.
Ability to work in a team environment under direct management direction to complete assignments.
College degree is preferred.