Claims Adjuster III
4 days ago
Job Title: Claims Adjuster III - Workers' Compensation Specialist
Job Summary:
We are seeking an experienced Claims Adjuster III - Workers' Compensation Specialist to join our team at Protective Insurance. As a key member of our Workers Compensation Claims Department, you will be responsible for effectively reviewing and handling lost time/indemnity claims and determining appropriate action relating to investigation, evaluation, negotiation, and settlement resolution.
Key Responsibilities:
- Manage a desk- and caseload of at least 100 claims in an efficient and professional manner
- Adjudicate complex litigation, catastrophic, and fatality workers compensation claims
- Investigate claims thoroughly, including coverage, compensability, and exposure
- Evaluate injury exposures and maintain accurate and timely reserves on all files
- Control and manage litigation
- Evaluate claims for settlement and negotiate with claimants and attorneys to resolve claims in an appropriate and timely manner
- Control and manage medical
- Evaluate claims for resolution and settlement
- Ensure files are accurately documented and updated at all times
- Ensure that all payments are appropriate, timely, and accurate
- File state forms based on jurisdictional requirements
- Assist in claim projects upon request
Requirements:
- Recommended a minimum of 10 up to 15 years of multi-state experience in handling workers compensation claims
- Maintain and/or acquire all required professional licenses
- Attend ongoing training and remain proficient with workers compensation statutes for the states that you have been assigned
- Demonstrates positive attitude and leadership skills within the team and department
- Demonstrates a strong and consistent commitment of outstanding claims service to internal and external customers
- Performance ratings consistently at meets and/or exceeds in multiple performance areas
- Experience in handling complex litigation, catastrophic, and fatality workers compensation claims
- Strong oral written communication skills
- Strong analytical skills and attention to detail
- Time management skills and demonstrated ability to manage multiple priorities with accuracy and efficiency
- Ability to travel periodically (i.e. account visits, state licensing conferences, etc.)
- Ability to work remotely as needed
- Proficient knowledge of Microsoft Office suite
About Protective Insurance:
Protective Insurance is a leading provider of insurance solutions for the transportation industry. With over 80 years of experience, we offer comprehensive coverage for trucking fleets of all sizes, as well as a public transportation insurance program for charter and tour bus companies, school bus contractors, and limousine services.
Equal Employment Opportunity:
Protective Insurance is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment and do not discriminate on the basis of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation.
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