Workers Compensation Lost Time Adjuster
Core
Review Lost Time claims, conduct investigations to determine compensability, manage medical issues, and negotiate settlements to resolve workers' compensation claims.
Role type
Senior IC workers' compensation lost-time adjuster
Builds
Resolved claims and accurate reserves
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
claims investigation, coverage and liability analysis, reserve evaluation, litigation management, settlement negotiation, medical management, file documentation, payment processing
Preferred skills
strategic action planning, cross-functional collaboration, proactive problem solving
Technologies
Microsoft Office (Excel, PowerPoint, Outlook)
Responsibilities
Investigate claims thoroughly including coverage, liability, and exposure; Evaluate exposures and maintain accurate and timely reserves; Control and manage litigation issues; Evaluate claims for settlement and negotiate with claimants and attorneys; Control and manage medical issues; Ensure payments are appropriate, timely, and accurate.
Seniority
Senior, hands-on IC