Current jobs related to Workers Comp Claims Adjuster - Metairie - The Gray Insurance Company

  • Workers' Compensation Claims Adjuster

    5 days ago

    Metairie, Louisiana, United States CCMSI Full time

    About the RoleWe are seeking a highly skilled and experienced Claims Adjuster to join our team at CCMSI. As a Claims Adjuster, you will play a critical role in the investigation and adjustment of workers' compensation claims, ensuring that our clients receive exceptional service and support.Key ResponsibilitiesInvestigate and adjust workers' compensation...

  • Workers' Compensation Claims Adjuster

    3 days ago

    Metairie, Louisiana, United States CCMSI Full time

    About the RoleWe are seeking a highly skilled and experienced Claims Adjuster to join our team at CCMSI. As a Claims Adjuster, you will play a critical role in the investigation and adjustment of workers' compensation claims, ensuring that our clients receive exceptional service and support.Key ResponsibilitiesInvestigate and adjust workers' compensation...

  • Claims Adjuster, Workers' Compensation

    5 days ago

    Metairie, United States CCMSI Full time

    Overview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

  • Multi-Line Claims Adjuster

    3 days ago

    Metairie, Louisiana, United States CCMSI Full time

    About CCMSICCMSI is a leading Third Party Administrator in self-insurance services, dedicated to delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts.Our CultureOur Core Values are embedded into our...

  • Multi-Line Claims Adjuster

    3 days ago

    Metairie, Louisiana, United States CCMSI Full time

    About CCMSICCMSI is a leading Third Party Administrator in self-insurance services, dedicated to delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts.Why Work with CCMSI?We offer a dynamic work...

  • Claims Adjuster Trainee

    15 hours ago

    Metairie, Louisiana, United States Progressive Insurance Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Claims Adjuster Trainee to join our team at Progressive Insurance. As a Claims Adjuster Trainee, you will be responsible for resolving claims efficiently and effectively, while providing excellent customer service.Key ResponsibilitiesDetermine Coverage: Assess the extent of damage or loss and...

  • Remote Commercial Auto Claims Adjuster

    4 weeks ago

    Metairie, United States CCMSI Full time

    Overview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

  • Claims Specialist

    3 months ago

    Metairie, United States Marsh McLennan Companies Full time

    Description: SUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Duties include: You will submit claims or provide guidance on claim submission; Review coverages and resolve claims...

  • Property Litigation Supervisor

    3 months ago

    Metairie, United States TheBest Claims Solutions Full time

    Our client is looking for a Property Litigation Supervisor to work in their New Orleans office. This candidate will need to have experience with litigated property claims in the state of Louisiana.Required Qualifications:5+ years of supervising experience in homeowners property.Responsible for supervising litigation process in all phases of high complex...

  • Social Worker

    3 weeks ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Social Worker

    2 weeks ago

    Metairie, United States ChenMed Full time

    Job DescriptionWe’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and...

  • Social Worker

    4 days ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Social Worker

    2 weeks ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Social Worker

    1 week ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Social Worker

    2 days ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Social Worker

    2 weeks ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Social Worker

    1 month ago

    Metairie, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Staff Accountant

    7 days ago

    Metairie, United States Louisiana Restaurant Association Full time

    Job DescriptionJob DescriptionLRA Workers’ Comp, a Metairie-based provider, is seeking a Staff Accountant. This position will use data analytics to review, manage, and oversee the compliance process. Working knowledge to support accounts receivable, accounts payable and bank reconciliation process needed.Strong financial knowledge and analytical skills,...

  • Associate Attorney

    4 months ago

    Metairie, United States Morris Bart Law Firm Full time

    Company DescriptionMorris Bart Law Firm is a personal injury law firm located in Metairie, LA. We specialize in personal injury settlements and lawsuits, including automobile accidents, workers' comp, premises liability, and mass tort lawsuits. Our firm has expertise in ALL personal injury cases.Role DescriptionThis is a full-time on-site role for an...

  • Associate Attorney

    4 months ago

    Metairie, United States Morris Bart Law Firm Full time

    Company DescriptionMorris Bart Law Firm is a personal injury law firm located in Metairie, LA. We specialize in personal injury settlements and lawsuits, including automobile accidents, workers' comp, premises liability, and mass tort lawsuits. Our firm has expertise in ALL personal injury cases.Role DescriptionThis is a full-time on-site role for an...

Workers Comp Claims Adjuster

3 months ago

Metairie, United States The Gray Insurance Company Full time
DUTIES AND RESPONSIBILITIES

  • Verify coverage of assigned claims and oversee the accuracy of claim set-up
  • Ensure timely communication to insureds and claimants with prompt response time to phone calls and emails
  • Investigate new and existing workers' compensation claims to determine compensability of claims (in whole and in part) and entitlement to indemnity and medical benefits
  • Ensure timely payments of claim bills (medical, legal, vendor) and indemnity payments
  • Establish a thoughtful approach to mitigate exposure with recommendations to management
  • Effectuate timely offers and settlements and ensure timely file closure
  • Ensure accurate and updated file information
  • Complete timely reports and file diaries
  • Visit assigned insureds periodically. Attend insured meetings and file reviews with insureds
  • Obtain medical reports and employer investigation documents. Secure statements from claimants/witnesses
  • Review and Approve/Deny timely, requests for authorization of medication and medical procedures/supplies
  • Schedule IME's and SMO's
  • Monitor incoming medical/legal reports and respond accordingly
  • Timely and accurately address reserves based upon the exposure
  • Submit recommendations to the Claims Branch Manager on cases exceeding personal settlement/reserve authority
  • Assign defense counsel upon the approval of the branch manager or VP - Claims.
  • Manage defense counsel and work collaboratively regarding strategy on litigated claims, making sure litigation management and billing guidelines are followed
  • Obtain expert opinions as needed
  • Attend Benefit Review Conferences and Contested Case Hearings required conferences and hearings with defense counsel
  • Obtain Jury/Appeal Bonds from Surety when needed
  • Monitor vendor participation (e.g. case management, vocational rehabilitation, private investigators) and apply gained knowledge/results appropriately
  • Responsible for completing timely and accurate PLN jurisdictional forms and EDI transmittals to the division-applicable governmental agency
  • Investigate and report to appropriate jurisdictions claims involving suspected fraudulent claims
  • Pursue all viable avenues of subrogation
  • Ensure Medicare Section 111 compliance filings and compliance with MSP requirements
  • Obtain required credit hours to maintain adjuster licensing
  • Ensure updated knowledge/application of DWC jurisdictional rules and regulations
  • Mentor, assist, share experience/expertise
  • Assist the Branch Manager as needed
  • Other duties as assigned/ required
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

REQUIRED SKILLS
  • Excellent communication skills with management, employees, and outsiders.
  • Excellent computer skills with knowledge of Microsoft Office Suite or similar software.
  • Ability to work independently with minimum supervision.