Claims Adjuster - Workers' Compensation
Core
Adjust assigned workers' compensation claims within delegated limits, conduct investigations, handle subrogation, and negotiate settlements.
Role type
Claims Adjuster (Workers' Compensation)
Builds
Claim settlements and recovery actions
Domain
Insurance (P&C / Workers' Compensation)
Deliverable
client delivery
Required skills
claims investigation, reserve setting, subrogation, settlement negotiation, regulatory compliance, litigation management, state licensing
Preferred skills
New York or Virginia claims handling experience, Bachelor's degree
Technologies
claims systems, claims manuals
Responsibilities
Analyze claim nature and determine investigation requirements; Perform timely and thorough investigations including survey arrangements; Initiate reserve changes and make recommendations to supervisors; Manage and negotiate claim payments and settlements; Handle subrogation including identification of responsible parties and negotiation; Assign and monitor defense counsel for lawsuits; Service customer needs including insureds, claimants, and brokers; Maintain communication with customers throughout the claims process; Complete data reports to state reporting agencies; Maintain compliance with Fair Claim Practices Acts and state/federal regulations; Maintain state licensing and continuing education requirements.