Senior Workers' Compensation Claims Adjuster

Job TitleJob Description Education: Bachelor's degree or WC Insurance experienceMajor Duties & Responsibilities:Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract.Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.Sets reserves within authority limits and recommends reserve changes to Team Leader.Prepares and submits to Team Leader unusual or possible undesirable exposures.Settles claims promptly and equitably.Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.Informs claimants, insureds/customers or attorney of denial of claim when applicable.Desired Qualifications:2+ or more years' experience handling workers' compensation claims.Strong communication and interpersonal skills to effectively interact with claimants, customers, insureds, brokers, attorneys, etc., in a positive manner regarding losses.Ability to self-motivate and work independently.Knowledge of company products, services, coverages, and policy limits, along with awareness of the company's claims best practices.**Only those lawfully authorized to work in the designated country associated with the position will be considered.**Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.

Skills

Attorney, Background Investigation, Best Practices, Brokerage, Claims Processing, Communication Skills, Information/Data Security (InfoSec), Insurance, Interpersonal Skills, Investigative Reports, Policy Development, Reporting Skills, Team Lead/Manager, Worker's Compensation

About the Company

Rose International

Founded in 1993 by Sue Bhatia, Rose International is one of the nation's leading minority- and woman-owned providers of Staffing and Total Talent Solutions. We serve companies in all 50 states and employ thousands of people across the country.

Company Size

2,500 to 4,999 employees

Industry

Staffing/Employment Agencies

Founded

0

Website

https://www.roseint.com/