Workers’ Compensation Claims Adjuster – MedOnly

Published
June 17, 2022
Location
Nationwide, Remote
Job Type

Description

The candidate must know and understand Nevada Workers' Compensation and be willing to learn additional jurisdictions.

The candidate must have a valid license for their state of domicile. Valid licenses in additional jurisdictions are preferred. The candidate must be willing to learn additional jurisdictions, handle multiple programs/clients, and will be required to obtain licensing in all states requiring licensing after hire. Candidates will be handling claims in multiple states.

Must have 3 to 5 years of overall experience handling Workers' Compensation claims.
Must be eligible for reserve/payment authority level of $50,000+ when appropriate
Must possess required Adjuster’s license(s) with the ability to obtain other required jurisdictional licensing.

The candidate will handle a caseload of approximately 150 pending claims encompassing all levels of complexity. Establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care, litigation management, damage assessment, settlement negotiations, identifying potential fraud & appropriate use of authorized vendors. Includes timely & appropriate reserve analysis & report completion. Ability to attend conferences, and client meetings, mentor other adjusters & assist management as requested. File handling must be within state statutes; Client Claims Handling Guidelines & NARS Best Practices.

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