Compensation Claims Examiner
3 weeks ago
LHH Recruitment Solutions is seeking a skilled Workers Compensation Adjuster to join our team on a contract to permanent basis. In this role, you will be responsible for examining, investigating, and settling workers' compensation insurance claims in a timely and efficient manner.
Key Responsibilities:- Investigate workers' compensation claims by communicating with injured workers, medical providers, and employer representatives to determine claim validity and develop treatment plans.
- Review medical bills to ensure charges are related to workers' comp injuries and in accordance with treatment plans.
- Ensure timely payments for medical bills and income replacement.
- Communicate with claimants, policyholders, and medical providers regarding claim status.
- Consult with attorneys on litigation management, settlement strategy, and claim resolution.
- Open new claims, complete three-point contact, and perform investigations to determine compensability and potential subrogation or apportionment.
- Set reserves according to office guidelines and make timely recommendations on reserves that exceed authority.
- Monitor and maintain accuracy of reserves over the life of the claim.
- Create and execute action plans to bring cases to closure.
- Make timely payments and respond to statutory filings within required time frames.
- At least 1 year experience as a Workers Comp adjuster.
- Licensed in New Mexico to handle Workers Compensation claims.
- MS Office experience (Word, Excel, Outlook).
- Effective negotiation skills.
- Strong verbal and written communication skills.
Pay Details: $21.63 to $26.44 per hour
Benefits: Medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K plan.
Equal Opportunity Employer: LHH Recruitment Solutions is an equal opportunity employer and welcomes applications from diverse candidates.
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