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    Hybrid Sr Workers Compensation Adjuster-Phoenix AZ - Masis Professional Group

    Masis Professional Group
    Masis Professional Group Phoenix, United States

    1 week ago

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    Description

    Our Partner is currently recruiting a Senior Workers' Compensation Claims Adjuster which can sit in their Phoenix, Arizona office. This is a direct hire role. It will have a 2-day hybrid approach (2 days per week working in office, 3 days per week working from home office). This role will require Workers Compensation claims expertise in California. Candidate MUST live in the Phoenix area.

    The ideal candidate will possess the following skill set.

    Summary Statement

    Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees.

    Essential Tasks/Major Duties

    • Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business.
    • Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings.
    • Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines.
    • Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
    • Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs.
    • Collaborate with counsel to manage litigated claims.
    • Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing.

    Knowledge, Skills & Abilities

    • Bachelor's degree or equivalent combination of education.
    • 3 years of experience handling workers' compensation indemnity claims of medium level of complexity/severity.
    • AIC or SLA certification preferred.
    • Ability to obtain appropriate state licensing as required.
    • Proficient computer skills required including Microsoft Office Suite.
    • Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
    • Strong analytical skills and attention to detail.
    • Excellent verbal and written communication skills with the ability to interact with internal and external customers.
    • Ability to travel overnight up to 10%.
    • Ability to travel daily between locations.
    • Spanish fluency is a plus.
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