- Promptly investigate all assigned claims from basic to more complex medical and indemnity files with minimal supervision
- Make timely compensability determinations in accordance with jurisdictional requirements
- Document action plan for claim resolution including medical, disability, litigation, negotiation, and final disposition
- Establish appropriate reserves with documented rationale and update at diary intervals to reflect changes in exposure
- Identify potential fraud indicators and notify management for further investigation
- Associate's degree and/or three years of equivalent work experience in an insurance-related industry required; bachelors degree preferred
- 3+ years of workers' compensation claims experience required
- Public Entity experience a plus
- The well-being of our employees is important to us. We offer a comprehensive benefits package including paid time off, medical, dental, vision, 401k, LTD, STD, HRA, FSA, and Group Life Insurance.
Workers Compensation Claims Adjuster - Galloway - Claims Resolution Corporation Inc.
1 week ago
Description
Job Title: Workers' Compensation Claims Adjuster
Location: Galloway, New Jersey
We are seeking a skilled and experienced workers' compensation claims adjuster to join our team at Claims Resolution Corporation, Inc.
This is an exciting opportunity for individuals who are passionate about delivering exceptional customer service, resolving complex claims, and driving positive outcomes.
About the Role:
We offer a competitive salary range of $55,000-$75,000 per year, depending on experience. If you meet the above requirements and want to join a high-performing team, please forward your resume for consideration.
About Us:
We are a full-service third-party administrator (TPA) managing multi-line claims for Public Entities. Our client-focused, ethical, and relationship-based team members are the heart of our vision to be the best TPA.
Requirements and Qualifications:
Employee Benefits:
Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee.