Central Office_Adjuster, Workers Compensation Case

5 days ago

Stone Mountain, GA, United States DeKalb County School District Full time
Position Type:
Office of Legal Affairs/Adjuster Workers Compensation

Date Posted:
6/23/2025

Location:
Risk Management
The DeKalb County School District is seeking an experienced and professional Adjuster, Workers' Compensation Case.

Salary Grade/Schedule: Unified 120
Salary Schedules: Click Here

The material contained herein is subject to change. All open positions offered by the DeKalb County School District are subject to specific job requirements. The DeKalb County School District is an equal opportunity employer, and all hiring decisions are subject to federal, state, and local employment laws and regulations.

Title: Adjuster, Workers' Compensation Case

Perform routine and non-routine tasks pertaining to evaluating, documenting, and handling workers' compensation claims, ensuring timely resolution and compliance with relevant laws. Perform duties with moderate to little supervision as an experienced-level individual contributor.

Essential Functions:

• Document, investigate, and process various types of workers' compensation claims.
• Ensure that contact is made within 24 hours with claimants, employers, and medical providers to facilitate the claims process and complete initial investigations.
• Maintain electronic claim files.
• Assess claims for compensability and financial exposure.
• Review medical records and documentation to evaluate the extent of injuries.
• Determine appropriate benefits and issue payments as necessary.
• Report financial reserves for claim loss projections.
• Approve follow-up care as appropriate according to relevant processes and procedures.
• Collaborate with legal counsel concerning claims in litigation with contested issues.
• Provide technical assistance to employees and administrators related to the workers' compensation system, explaining processes as needed.
• Oversee resolution processes for disputed claims by reviewing resolutions and settlements.
• Calculate and pay indemnity/mileage benefits in accordance with regulations.
• Perform ongoing reviews of case files for accuracy and verify compliance with regulations.
• Maintain up-to-date knowledge of legal updates related to workers' compensation.
• Provide insight on process improvements and successful outcomes, and make recommendations for solutions as appropriate.
• Perform additional duties as assigned.

EDUCATION AND/OR EXPERIENCE:
• High School Diploma with a minimum of six (6) years of related experience required.
• Associate degree in Business Administration, Human Resource Management, or a related field with a minimum of four (4) years of related experience preferred.
• Valid Workers' Compensation Adjuster License issued by the Office of Insurance and Safety Commissioner of Georgia.

06/23/2025

Attachment(s):
  • Adjuster, Workers Compensation.pdf

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