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Publix Super Markets, Inc.

Workers Compensation Claims Clerk

Career Insights for Claims Adjuster / Specialist (General)

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Based on Florida data

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What they do

A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.

$70,444 / year median in Florida

+6% projected growth

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Job Description

The purpose of this position is to support the adjusting and nursing functions within the Workers Compensation Department. This includes responsibility for managing the fax line, scheduling medical appointments, organizing files to be sent to physicians and/or attorneys, scheduling transportation/ translation services, obtaining updated medical notes and handling incoming calls, and inputting payments to the system once adjusters have approved the invoice.
Responsibilities include:
monitoring, deciphering, and distributing faxes to the appropriate adjuster and nurse case manager compiling and preparing claim file materials for responses to legal pleadings securing medical appointments for injured associates and inputting payments into the claim systems once invoices are approved by the adjuster analyzing, sorting, scanning, and distributing various documents to include legal documents answering incoming calls and determining the appropriate distribution of calls