Claims Adjuster II - NV, AZ, CO, OK, UT, TX & LA
Company: EIG Services, Inc
Location: Henderson
Posted on: October 23, 2024
Job Description:
Location: United States
Requisition Number: req16
Claims Adjuster II (Workers' Compensation)- NV, AZ, CO, OK, UT, TX
& LA - 100% Remote OpportunityPreference given to those with
workers' compensation claims experience in NV, AZ, CO, OK, UT, TX &
LAGeneral Summary:The Claims Adjuster II is responsible for timely
and accurate management of workers' compensation claims with
moderate medical and indemnity benefit exposure, including
litigation.Essential Duties and Responsibilities:
- Completes initial contacts to obtain necessary additional
information, verify coverage, determine compensability and develop
of plan of action. Completes and maintains accurate claim system
data.
- Analyzes case facts to establish timely and accurate case
reserves using knowledge of medical disabilities and related costs,
as well as judgment of extent of disability.
- Provides timely and appropriate customer service within
established best practices. Maintains ongoing professional
communications with all internal and external customers.
- Accurately evaluates and pays benefits in compliance with
statutory and company procedures and guidelines. Files appropriate
state forms, as needed.
- Proactively coordinates and monitors medical treatment to
continue to move the claim forward. Uses resources, internal and
external, to contain costs and manage exposure.
- Reviews and analyzes legal exposures. Collaborates with defense
attorneys to manage legal issues. Proactively mitigates exposure to
litigation, prices up claims for settlement and works within
authority to resolve claims.
- Regularly reviews caseload and proactively takes action to
guide claims efficiently and effectively to closure.
- Other duties may be assigned.Job Requirements:
- Excellent communication and customer service skills and
knowledge of an imaged environment.
- Demonstrated knowledge of workers' compensation laws and
ability to adhere to statutes, regulations and company policies and
practices, as well as related claim management
procedures/protocols.
- Two to five years claims adjusting or insurance
experience.
- Self-motivated with excellent analytical, problem solving and
decision-making skills. Strong ability to multi-task and
prioritize.
- If state certification or license is required, must meet
requirements and obtain certification within state mandated
timeframe and maintain any required license through continuing
education.
- Must have High School Diploma or GED equivalent.Preferred but
not required:
- Bachelor's degree or equivalent business experience
preferred.
- WCCP, AIC, ARM, CPCU or other insurance certification a plus.An
equivalent combination of education and experience may be
substituted for the requirements listed above.Salary Range: $50,000
- $75,000 and a comprehensive benefits package. Please follow the
link to our benefits page for details!
https://www.employers.com/careers/our-benefits-and-perks/Work
Environment:
- Remote: This role is remote, and only open to candidates
currently located in the United States and able to work without
sponsorship.
- It requires a suitable space that provides a private and quiet
workplace.
- Expected Work Hours: Schedules are set to accommodate the
requirements of the position and the needs of the organization and
may be adjusted as needed.
- Travel: May be required to travel to off-site location(s) to
attend meetings, as necessaryAbout EMPLOYERS:EMPLOYERS is a
dynamic, fast-growing provider of workers' compensation insurance
and services, we are seeking a goal-oriented individual willing to
put their ideas to work! We offer a positive, challenging work
environment, combined with an opportunity to build your career as
you help us grow our business, in innovative and imaginative ways
that are uniquely EMPLOYERS!Headquartered in Nevada, EMPLOYERS
attributes its long-standing success to its most valuable resource,
our employees across the United States. EMPLOYERS is known for the
quality service and expertise we provide to our clients, and the
exemplary work environment we provide for our employees.We live and
breathe our core values: Integrity, Customer Focus, Collaboration,
Initiative, Accountability, Innovation, and Personal Fulfillment.
These are the pillars that support how we do business with our
clients as well as how we treat each other!At EMPLOYERS, you'll
discover an energetic environment that inspires top achievement. As
"America's small business insurance specialist", we have the
resources, a solid reputation, and an expanding nationwide identity
to enrich your work/life and enhance your career. #LI-Remote
HP22
Compensation details: 50000-75000
PI964bd47702e7-37248-35724851
Keywords: EIG Services, Inc, Spring Valley , Claims Adjuster II - NV, AZ, CO, OK, UT, TX & LA, Other , Henderson, Nevada
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