Claims Adjuster Workers Compensation (2+ yrs exp required) iSurity, Inc. - 3.3 High Point, NC Job Details Full-time 20 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Parental leave Vision insurance Professional development assistance Life insurance Referral program Qualifications Workers' compensation insurance knowledge Workers' compensation Stakeholder relationship building Full Job Description Summary In the role of Medical Only Claims Adjuster for Workers' Compensation, you will be essential in managing claims efficiently while providing outstanding customer service. Reporting to the Claims Manager, you will utilize your core skills in negotiation and analysis to assess claims and ensure compliance with workers' compensation laws. As a Medical Only Claims Adjuster, you will be investigating claims, determining if the claim is payable and managing the care of the injured employee.

Attributes include:

Ability to solve practical problems and to work independently. 2+ years of Workers Compensation Claims handling. Ability to be resourceful and prioritize. Good interpersonal skills. Ability to build and maintain relationships with insureds, injured workers and attorneys. Fluent English is required. Spanish speaking is a plus. Adjusters License in one or more states a plus:

NC, PA, SC

The position involves: Determining coverage on new claims. Contacting employer for initial investigation. Contacting employee/injured worker for information - recorded statements Reviewing medical bills to determine if payment is proper and referral of those bills for audit. Filing necessary forms with the Industrial Commission. Determining appropriate reserves for claims. Determining when claims need medical case management services and arranging the necessary care. Corresponding with attorneys on legal issues. Attending mediations and hearings. •

THIS IS A SALARIED POSITION

plus Quarterly Incentives•Pay rate negotiable•

Job Type:

Full-time Benefits:

401(k) Dental insurance Flexible spending account Health insurance Life insurance Paid time off Parental leave Professional development assistance Referral program Vision insurance Application Question(s): Please list states that you have experience adjusting in.

Experience:

Workers' compensation: 2 years (Required)

Work Location:

Hybrid remote in High Point, NC 27265