Workers' Compensation Claims Adjuster

About this role

Responsibilities

• Investigate, evaluate, and adjust claims in accordance with established claim handling standards and laws
• Establish reserves and/or provide reserve recommendations within established reserve authority levels
• Review, approve, or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority
• Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws, when appropriate