Associate Claims Adjuster, Workers Compensation
Core
Investigates workers' compensation claims for mid-sized and large commercial accounts, evaluates liability, negotiates settlements, and manages claim files to mitigate exposure.
Role type
Associate Claims Adjuster (Workers Compensation)
Builds
Worker's compensation claim files and settlement outcomes
Domain
Insurance / Workers Compensation
Deliverable
client delivery
Required skills
claim investigation, liability evaluation, settlement negotiation, loss cost estimation, state compliance, file management, action planning
Preferred skills
customer service, analytical skills, medical terminology knowledge, legal liability knowledge, insurance coverage knowledge
Technologies
none stated
Responsibilities
Review first reports of loss and supporting materials; determine best first point of contact to gather information; establish action plans based on case facts and protocols; manage inventory of claims; evaluate compensability and losses; negotiate settlements within prescribed limits; establish accurate loss cost estimates; confirm or deny coverage based on investigation facts; update files and execute plans to mitigate exposure.
Seniority
Associate, entry-level IC