Claims Adjuster
1 day ago
We are seeking a highly skilled Claims Adjuster to join our team at Dartmouth College. As a Claims Adjuster, you will play a critical role in the administration of our insurance program, managing workers' compensation claims and ensuring compliance with statues, regulations, and policy provisions.
Key Responsibilities:- Manage workers' compensation claims from initial report to resolution, ensuring all necessary information is collected for accurate processing in our proprietary claims management system.
- Investigate and adjust claims in a timely manner, directing outside defence counsel, independent adjusters, experts, and other vendors in the claim-handling process.
- Determine compensability and issue prompt payment or denial within statutory requirements.
- Recommends and sets reserves to ensure they represent the probable ultimate payout based on documented file developments.
- Communicate frequently with injured workers to maintain appropriate case management.
- Collaborate with Dartmouth departmental supervisors to execute return-to-work strategies.
- Routinely interact with primary and excess insurance carriers.
- Establish and implement proactive action plans to facilitate case resolution, including negotiating settlements within granted authority.
- Review and process medical/vendor bills and issue timely payments consistent with payment protocols.
- Attend hearings and appeals as required.
- Determine potential subrogation and second-injury fund recovery.
- Stay up-to-date on jurisdictional requirements, applicable case law, and insurance best practices.
- Contribute to and provide data for monthly Safety Meetings.
- Assist in managing other claims, such as general liability, auto liability, and property, to ensure a comprehensive approach to claims management.
- Assist with general risk management activities related to the college's projects and operations.
- Perform other related duties as assigned by manager or Director of Risk Management and Insurance.
Requirements:
- Bachelor's degree plus 3-5 years' experience or equivalent combination of education and experience.
- New Hampshire Workers Compensation Adjuster License.
- Comprehensive knowledge of NH Workers' Compensation Statutes and case law.
- Exceptional customer service skills.
- Ability to obtain and utilize sensitive information discreetly and objectively.
- Demonstrates a commitment to diversity, inclusion, and cultural awareness through actions, interactions, and communications with others.
Preferred Qualifications:
- Professional licensure in multi-line property and casualty.
- Professional certifications (Associate in Claims; Senior Claim Law Associate, Chartered Professional Casualty Underwriter).
Equal Opportunity Employer:
Dartmouth College is an equal opportunity/affirmative action employer with a strong commitment to diversity and inclusion. We prohibit discrimination on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identity or expression, disability, veteran status, marital status, or any other legally protected status.
Background Check:
Employment in this position is contingent upon consent to and successful completion of a pre-employment background check, which may include a criminal background check, reference checks, verification of work history, conduct review, and verification of any required academic credentials, licenses, and/or certifications, with results acceptable to Dartmouth College.
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