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Temp Workers Compensation Claims Adjuster I

Intercare Holdings Insurance Services · Abingdon, Virginia, US

Job Type Full-time, Temporary Description Summary: Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability an...

Job description

Job Type Full-time, Temporary Summary: Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties. Essential Duties and Responsibilities: - Three-point contact, initial investigation, initial benefit determination. - Ability to identify and address questionable (AOE/COE) claims. - Establish and monitor reserves at periodic intervals. - Prepare claims status report to carriers at 90-day intervals. - Ability to manage and direct medical care, including strategies to maintain medical control and objection when appropriate. - Identify and rate permanent disability. - Vocational Rehabilitation file management - Negotiate and finalize claim settlements as well as lien settlements. - Identify and manage subrogation issues on workers’ compensation claims. - Work independently and in a fast paced environment. Competency: To perform the job successfully, an individual should demonstrate the following competencies: - Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alte...