Senior WC Claims Adjuster
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Job Location:
Farmington Hills, MI - USA
Hourly Salary:
$ 36 - 40
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Senior Workers Compensation Claims Adjuster
Job Summary
Seeking a highly skilled and experienced Senior Workers Compensation Claims Adjuster to join a team. This is a hybrid role requiring onsite presence two days a week at one of the office locations. The ideal candidate will have jurisdictional expertise and experience handling Workers Compensation claim. This position involves managing claims of medium complexity/severity including litigated files and requires strong analytical and communication skills.
Compensation Package
- Hourly Pay: $36 - $40/hour (up to $42/hour for highly qualified candidates)
- Employment Type: Temp-to-hire
- Duration: Minimum of 30 days with potential for extension to 90 days or more
Responsibilities
- Investigate and analyze Workers Compensation claims of medium complexity/severity including litigated files to ensure proper resolution.
- Collaborate and communicate effectively with agents policyholders and internal stakeholders.
- Review and interpret commercial insurance policies to determine coverage and communicate findings.
- Develop and execute action plans to resolve claims evaluate damages and negotiate settlements in a timely manner.
- Establish and maintain accurate reserves for each claim to reflect financial exposure.
- Engage and manage external resources as needed to achieve optimal claim resolutions while controlling costs.
- Work closely with legal counsel to manage litigated claims.
- Utilize Guidewire (Claims Center) software for claims management if applicable.
Qualifications/Requirements
- Bachelors degree or equivalent combination of education and experience.
- Minimum of 3 years of experience handling Workers Compensation indemnity claims of medium complexity/severity.
- Jurisdictional expertise in Arizona claims is required along with licensing in Arizona.
- Experience handling claims in Utah Texas and Colorado with strong litigation skills.
- Proficiency in Microsoft Office Suite and familiarity with Guidewire (Claims Center) is preferred.
- AIC or SLA certification is preferred.
- Strong analytical skills attention to detail and the ability to build positive relationships with internal and external stakeholders.
- Excellent verbal and written communication skills.
- Must have access to a personal computer.
#LI-BC1
Required Experience:
Senior IC
Key Skills
- Load & Unload
- Organizational skills
- Financial Concepts
- Fraud
- Math
- Mediation Experience
- Pricing
- Conflict Management
- Workers' Compensation Law
- Medicare
- negotiation
- Workers' Compensation
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