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Company Name : Professional Workers Comp
Location : Honolulu, HI
Position : Workers Compensation Claims Adjuster (Remote based in WA, CA, HI, OR, AK)
Job Description : Workers Compensation Claims Adjuster or Senior Claims Adjuster
– Remote from home, Hybrid and onsite options available
– Candidate must be based in Alaska, Hawaii, California, Oregon or Washington
Summary:
The Workers Compensation Claims Adjuster or Senior Claims Adjuster is responsible for prompt and efficient investigation, evaluation and settlement or declination of complex and high exposure Workers Compensation Claims through effective research, negotiation and interaction with insureds, claimants and medical providers.
Requirements:
Workers Compensation Claims Adjusting experience in Alaska, Hawaii, California, Oregon and/or Washington required
Responsibilities:
Follows policies and procedures in managing claims.
Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers.
Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience.
Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case.
Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
Establishes effective relationships with internal or assigned counsel for customized defense plan. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel.
Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
Obtain medical records (past and present), police, ambulance and other agency reports as required.
Provides insights and input when reviewing claims of others. May be sought out by others for advice.
Job Type: Full-time
Pay: $65,000.00 – $98,000.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Professional development assistance
Referral program
Relocation assistance
Retirement plan
Tuition reimbursement
Vision insurance
Schedule:
10 hour shift
8 hour shift
Day shift
Monday to Friday
Supplemental Pay:
Bonus pay
Commission pay
Signing bonus
Experience:
Workers Compensation Claims Adjusting: 1 year (Required)
Work Location: One location
This post is listed Under Hawaii jobs
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