[Hiring] Claims Adjuster @Iconma Portal

Role Description

Our client, a Business Solutions company, is looking for a Claims Adjuster - Workers Compensation for their Las Vegas, NV/Remote location.

• Analyze mid- and higher-level workers compensation claims to determine benefits due.
• Ensure ongoing adjudication of claims within company standards and industry best practices.
• Identify subrogation of claims and negotiate settlements.
• Manage workers compensation claims determining compensability and benefits due on long term indemnity claims.
• Monitor reserve accuracy and file necessary documentation with state agency.
• Develop and manage workers compensation claims' action plans to resolution.
• Coordinate return-to-work efforts and approve claim payments.
• Communicate claim action with claimant and client.
• Ensure claim files are properly documented and claims coding is correct.
• Process complex lifetime medical and/or defined period medical claims including state and physician filings.
• Maintain professional client relationships.
• Perform other duties as assigned.
• Support the organization's quality program(s).

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Four (4) years of claims management experience or equivalent combination of education and experience required.
• Working knowledge of regulations, offsets and deductions, disability duration, medical management practices, and Social Security and Medicare application procedure as applicable to line of business.
• Excellent oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Good interpersonal skills.
• Excellent negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed Service Expectations.

Requirements

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
• Physical: Computer keyboarding.
• Auditory/Visual: Hearing, vision, and talking.

Benefits

• Health Benefits.
• Referral Program.
• Excellent growth and advancement opportunities.