Claims Adjuster

3 weeks ago


Atlanta, Georgia, United States Rose International Full time

Job Summary:

Rose International is seeking a highly skilled Claims Adjuster - Workers Compensation Specialist to join our team. As a key member of our claims management team, you will be responsible for analyzing and managing workers compensation claims to ensure accurate and timely benefits are paid to our clients.

Key Responsibilities:

  • Claims Analysis: Conduct thorough analysis of workers compensation claims to determine compensability and benefits due, ensuring compliance with company standards and industry best practices.
  • Claim Management: Develop and manage action plans to resolution, coordinate return-to-work efforts, and approve claim payments.
  • Subrogation and Settlements: Identify subrogation opportunities and negotiate settlements with claimants and clients.
  • Communication: Effectively communicate claim status and action plans with claimants and clients.
  • Documentation: Ensure accurate and complete documentation of claims files, including coding and filing with state agencies.

Requirements:

  • Education: Bachelor's degree from an accredited college or university preferred.
  • Experience: Four (4) years of claims management experience or equivalent combination of education and experience required.
  • Skills: Working knowledge of regulations, offsets and deductions, disability duration, medical management practices, and Social Security and Medicare application procedures.

Work Environment:

This is a remote position that requires the ability to work independently and as part of a team. The ideal candidate will have excellent analytical and communication skills, with the ability to handle multiple priorities simultaneously and meet deadlines.



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