Workers Compensation Claims Adjuster - Property and Casualty Insurance
Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers’ comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan. Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute Answer questions regarding the status of pending claims from claimants, policyholders and medical providers. Consult with attorneys regarding litigation management, settlement strategy and claim resolution.
3+ years experience as a workers compensation adjuster. MS Office experience (Work, Excel, Outlook). Effective negotiation skills. Strong verbal and written communication skills. Ability to prioritize work load to meet deadlines. Ability to manage multiple tasks in a fast-paced environment.
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