[Hiring] Workers’ Compensation Claims Adjuster II @EIG Services Inc

Role Description

The Work comp Claims Adjuster II is responsible for timely and accurate management of workers’ compensation claims with moderate medical and indemnity benefit exposure, including litigation.

• Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop a plan of action.
• Completes and maintains accurate claim system data as it pertains to work comp insurance claims.
• Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability.
• Provides timely and appropriate customer service within established best practices.
• Maintains ongoing professional communications with all internal and external customers.
• Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines.
• Files appropriate state forms, as needed.
• Proactively coordinates and monitors medical treatment to continue to move the claim forward.
• Uses resources, internal and external, to contain costs and manage exposure.
• Reviews and analyzes legal exposures.
• Collaborates with defense attorneys to manage legal issues.
• Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims.
• Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure.
• Other duties as assigned.

Qualifications

• 2 - 5 years’ work comp claims adjusting or insurance experience.
• Excellent communication and customer service skills and knowledge of an imaged environment.
• Demonstrated knowledge of workers’ compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols.
• Self-motivated with excellent analytical, problem solving and decision-making skills.
• Strong ability to multi-task and prioritize.
• High school diploma or equivalent required.
• Equivalent combinations of education and experience may be considered.

Requirements

• If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education.
• WCCP, AIC, ARM, CPCU or other insurance certification preferred.
• Bachelor’s degree or equivalent business experience preferred.

Benefits

• Salary Range: $60,000-$92,000.
• A strong comprehensive benefits package.

Company Description

As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!

• We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business.
• Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States.
• EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.
• We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment.
• At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement.