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Claims Adjuster III
2 months ago
- Investigate worker's compensation claims by contacting injured workers, medical providers, and employer representatives to determine claim validity.
- Analyze medical bills to confirm charges and treatment are related to the worker's compensation injury.
- Ensure timely payments for medical bills and income replacement in accordance with applicable fee schedules and statutes.
- Communicate with claimants, policyholders, and medical providers regarding claim status.
- Collaborate with attorneys on litigation management, settlement strategy, and claim resolution.
- 3+ years of experience as a Workers Comp adjuster with NY jurisdiction knowledge and experience.
- Proficiency in MS Office (Word, Excel, Outlook).
- Effective negotiation and communication skills.
- Ability to prioritize workload and meet deadlines.
- Ability to manage multiple tasks in a fast-paced environment.