Job Description:

This role is remote, within the United States. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available**Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now.We are searching for a Claims Adjuster to join our team!This position requires workers compensation multi-state licenses to review and handle national (multiple states) workers compensation claims.Investigate, analyze, and determine the extent of company's liability concerning workers compensation claims and attempt to achieve appropriate claim resolution as allowed within each States jurisdiction. Correspond with or interview medical specialists, agents, witnesses, insured's and/or claimants to compile information and determine claim compensability. Calculate benefit payments and approve payment of claims within your assigned claim authority. All tasks are to be performed with the goal of demonstrating superior claims handling expertise.RequirementsReview and handle workers compensation claims in multiple jurisdictions. Under technical direction, works within limits and authority on assignments of higher technical complexity and coordination. Responsible for claims management of assigned cases within guidelines of Company performance standardsOpens new claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or company's timeframes and guidelinesMaintain appropriate case reserves utilizing the corporate philosophy of establishing the ultimate probable exposure on each claim generally within the first 6 months of the life of a claim but no later than 12 months from received date of loss. Ensure all reinsurance reports are prepared thoroughly, accurately with clear language making it easy for reinsurers to understand and all reports are submitted within 30 days of their due dateFollows appropriate procedures for system documentation to preserve data integrityCreates and executes action plans needed to bring claims to closureCompletes detailed claim resolution plans and recommends appropriate plan of action, within authorityMaintains regular contact with injured workers, insured employers and agents to develop positive relationships and establish credibilityProvides meaningful participation in Large Loss review meetings to improve other departments understanding of claims processes generally and for the specific claim under review. Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusionsWorks productively and harmoniously with others on a consistent basisResponds positively to direction and criticism of performanceConsistently maintain professional and appropriate demeanorConducts training and mentors new hires. Perform other duties as assignedPossesses a higher and more extensive level of industry claim knowledge and skills on a National levelAdministers and monitors rules, guidelines, insurance laws, and regulations. Maintain a high degree of trust through demonstrated personal integrity and ethical behaviorWorks in collaboration with Vice President of Claims, Director of Claims, Claims Manager and Claims Supervisor. Responsible to maintain current on industry technical knowledge and skills. Minimum of 3 to 5 years workers' compensation claims handling experience required in multiple states. Must hold valid workers' compensation licenses in multiple jurisdictions. National exposure in claims handling/compliance is a plus. Strong verbal and written communication skills with emphasis on telephone communication requiredStrong math and reading skills required.Bachelor's degree or equivalent combination of training/experience requiredMeets all state regulatory standards regarding licensing, continuing education, and other requirementsBenefitsService Insurance Companies offers a competitive benefits package, including:Healthcare (medical, dental & vision)Voluntary benefits (life & disability insurance)401K & profit sharingGenerous paid time off & holidaysTuition reimbursement training