Experienced Claims Adjuster
Location: Omaha Nebraska
Description: Applied Underwriters is employing Experienced Claims Adjuster right now, this vacancy will be placed in Nebraska. Further informations about this vacancy opportunity please give attention to these descriptions. Put your potential to work! Applied Underwriters has an exciting opportunity available for a driven, multi-talented individual who wants to positively impact the lives of others. We are! seeking an experienced Claims Adjuster to join our team in Omaha, NE. Our compensation package is unmatched: generous salary, 401(k) with up to a 4% employer match, 100%-paid medical coverage, dental and vision insurance, tuition reimbursement, fitness membership reimbursement, paid holidays and PTO, and many more! Relocation assistance is available!
DESCRIPTION
Effectively manage a caseload of workers' compensation indemnity claims in accordance with the company's procedures and performance standards, as well as state statutory and regulatory provisions.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Investigate new claims for coverage and compensability.
- Set and maintain reserves for each claim.
- Draft letters, notes, and reports.
- Detect potential for recovery from third parties and assist with legal actions to obtain recovery.
- Retain and direct private investigators to gather information and detect fra! udulent claims.
- Determine eligibility for medical, di! sability, and vocational benefits.
- Manage medical care to provide rapid and complete recovery while controlling costs.
- Retain and direct nurse case managers to assist with ensuring prompt and effective medical care and safe and rapid return to work.
- Calculate and pay indemnity benefits.
- Pay medical benefits and expense payments.
- Coordinate with the injured worker, the employer, medical providers, and vocational professionals to achieve safe and rapid return to work.
- Manage legal services and direct litigation decisions.
- Negotiate claim settlements.
- Able to communicate effectively with people from all walks of life, including injured workers, employers, physicians, nurses, attorneys, private investigators, and vocational rehabilitation professionals.
- Able to learn and apply legal rules, procedures, concepts, and terminology.
- Able to lear! n and apply medical and pharmaceutical knowledge and terminology.
- Able to make important decisions involving complex legal and medical issues quickly and accurately.
- Able to perform mathematical calculations quickly and accurately.
- Able to maintain the highest level of organization and attention to detail to ensure that all deadlines are met, all payments are made on time, and record-keeping is thorough and accurate.
- Bachelor's degree strongly preferred.
- A minimum of 3 years of experience adjusting workers' compensation indemnity claims required.
Source - Kansas City Star
Please refer to the Job Description to view the requirements for this job
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Applied Underwriters.
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This vacancy starts available on: Tue, 18 Jun 2013 09:45:21 GMT