Search for Claims Adjuster - Workers Compensation
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Berkshire Hathaway Homestate Companies
JOIN OUR TEAM AS A WORKERS' COMPENSATION CLAIMS ADJUSTERAre you ready to embark on a rewarding career with a progressive organization? If you’re a Spanish speaker eager to utilize your language skills in a professional setting, Berkshire Hathaway Homestate Companies invites you to explore an exciting opportunity as a Workers’ Compensation Claims Adjuster.Our…
Position: Workers' Compensation Claims AdjusterLocation: Chicago, IL 60601Duration: 3+ monthsCompensation: $35 per hour on W2We are seeking a detail-oriented and dedicated Workers' Compensation Claims Adjuster to manage complex and high-visibility claims while adhering to company standards and best practices. In this role, you will utilize your expertise to determine benefits due within your delegated authority, collaborating closely with case managers and attorneys. You will also manage subrogation efforts and negotiate settlements to ensure optimal customer service and claim outcomes.Key Responsibilities:Acknowledge receipt of claims and provide timely updates.Investigate claims to determine validity and compensability, gathering necessary information.Establish reserves and authorize payments within your authority limits.Develop and implement action plans in collaboration with case managers to minimize claim costs.Coordinate return-to-work initiatives with case managers and employers.Manage claim subrogation and negotiate settlements as needed.Oversee the litigation process, ensuring effective management of all potential recoveries.Communicate status updates with customers and claimants regularly.Adhere to client and carrier guidelines while participating in claims reviews as required.Build and maintain professional relationships with customers.Attend work consistently and reliably.Qualifications:Minimum of 2 years of experience in Workers' Compensation claims management.Exceptional oral and written communication skills.Proficient in Microsoft Office Suite (Word, Excel).Strong organizational and interpersonal skills.Ability to thrive in a team-oriented environment.Thorough knowledge of claims administration, case management, and cost containment strategies related to Workers' Compensation.
Pie Insurance
Pie Insurance works to make commercial insurance more accessible and affordable for small businesses. By using technology, Pie streamlines how business owners purchase and manage their coverage. The team brings together people from a range of backgrounds, including builders, dreamers, and entrepreneurs. Every decision at Pie is guided by the company’s core values and operating principles. Role overview The Claims Adjuster - Workers Compensation manages the entire lifecycle of workers’ compensation claims. This position emphasizes careful claim file management, strong customer service, and adherence to both Pie’s best practices and legal or regulatory standards. Adjusters collaborate with internal teams and external partners to achieve positive outcomes for clients and look for ways to reduce claims exposure. Claims technical management Independently handle all phases of workers’ compensation claims from initiation to closure. Conduct prompt three-point contact investigations and adjust strategies as new details become available. Identify and act on opportunities to minimize claim exposure. Make timely, accurate compensability decisions in line with statutory requirements. Set and update reserves within authority, ensuring alignment with case facts and company guidelines. Administer statutory medical and indemnity benefits throughout the claim process. Maintain compliance with all applicable statutes, rules, and regulations. Oversee legal proceedings with counsel, managing legal costs and related expenses. Prioritize early resolution, assess exposure, and negotiate settlements when appropriate. Claims customer service Act as a liaison for partner agents and clients, offering guidance and setting expectations for the claims process. Provide claim status updates, coverage verification, and loss run reports to agents and insureds as needed. Deliver strong customer service to both internal and external stakeholders. Work collaboratively with TPA adjusters and other partners to improve the claims process.
Cottingham & Butler Insurance Services, Inc.
Cottingham & Butler Claims Services (CBCS) seeks a Workers Compensation Claims Adjuster with hands-on experience handling Texas jurisdiction claims. This fully remote position is open to candidates based in Texas. Role overview This role focuses on managing the entire lifecycle of workers compensation claims under Texas regulations. The adjuster will work independently from a Texas location, without the need to commute. Key responsibilities Investigate and oversee workers compensation claims from initial report through resolution Take statements and collect all relevant documentation Process lost wage benefits for claimants File state-required forms accurately and within deadlines Deny claims when appropriate, ensuring compliance with Texas regulations Manage subrogation and litigation activities related to claims Negotiate settlements with claimants, healthcare providers, attorneys, and company leadership Requirements Direct experience as a workers compensation claims adjuster handling Texas jurisdiction claims Background managing claims across multiple jurisdictions Strong communication and negotiation abilities Attention to detail with thorough documentation skills Solid understanding of workers compensation laws and regulations Comfort interacting with a range of professionals, from executives to healthcare providers Location This is a remote role based in Texas. No daily commute is required.
Pie Insurance
Pie Insurance helps small businesses access and manage commercial insurance with less hassle. Technology drives the company’s approach, making coverage easier to buy and maintain. The team values diversity and follows a set of core values and operating principles that shape daily work and decisions. Role overview The Workers Compensation Claims Adjuster oversees workers’ compensation claims from initial report through to resolution. This role ensures each claim meets Pie’s standards and complies with all regulatory requirements. Collaboration with colleagues and external partners is key, with an emphasis on improving claim outcomes and finding ways to reduce exposure. What you will do Claims technical management Independently manage all aspects of workers’ compensation claims from start to finish. Conduct timely three-point contact investigations, updating strategies as new information becomes available. Work to minimize claim exposure and achieve optimal outcomes. Make compensability decisions promptly and accurately, following statutory guidelines. Set and adjust reserves within authority, ensuring alignment with case facts and company policies. Oversee statutory medical and indemnity benefits throughout the claim lifecycle. Maintain compliance with all applicable statutory rules and regulations. Manage litigation activities with defense counsel, monitoring costs closely. Identify opportunities for early resolution, evaluate exposure, and negotiate settlements. Claims customer service Act as a main contact for partner agents and customers, guiding them through the claims process and setting clear expectations. Provide updates on claim status, verify coverage, and deliver loss run reports as needed. Offer strong customer service to both internal and external stakeholders. Coordinate with TPA adjusters when necessary to ensure claims progress efficiently.
Pie Insurance
At Pie Insurance, our mission is to empower small businesses by making commercial insurance accessible and straightforward. We utilize innovative technology to transform the way small enterprises engage with commercial insurance. Our diverse team of builders, dreamers, and entrepreneurs embodies the core values and operating principles that drive every decision we make, much like our small business customers.The Senior Claims Adjuster will be pivotal in ensuring superior claim file management and delivering an exceptional customer claims experience. This role requires strict adherence to Pie’s Claims Best Practices along with compliance with regulatory and statutory requirements. You will collaborate with internal and external stakeholders to achieve outstanding performance, identify claim mitigation opportunities, and deliver favorable outcomes for Pie’s customers.Your ResponsibilitiesClaims Technical Management:Independently manage all aspects of workers’ compensation claims from initiation to resolution.Evaluate and oversee high-value, complex claims.Conduct timely investigations with a focus on evolving case facts.Mitigate complex exposures to achieve optimal outcomes.Make timely and accurate compensability decisions in line with statutory requirements.Set and adjust reserves accurately within authority limits in alignment with case facts and company practices.Present claims to senior management and stakeholders effectively.Administer statutory medical and indemnity benefits throughout the claim lifecycle.Ensure compliance with all applicable statutory guidelines, rules, and regulations.Control legal activities in collaboration with defense counsel while managing costs and legal fees.Prioritize early resolutions, assess claim exposures, and negotiate settlements.Claims Customer Service:Act as a primary contact for partner agents and customers, providing guidance and setting expectations for the claims process.Assist in delivering claim status updates to agents and insureds, verify coverage, and address inquiries.
Berkshire Hathaway Homestate Companies
Join Our Team as a Claims AdjusterBerkshire Hathaway Homestate Companies is actively seeking a dedicated and experienced Workers Compensation Claims Adjuster. This role is perfect for self-motivated individuals who thrive with minimal supervision, are results-driven, and take pride in their work.As a Claims Adjuster, you will be responsible for managing a diverse caseload of workers compensation indemnity claims from initiation to final resolution. This includes conducting initial investigations, determining compensability, analyzing reserves, and creating strategic plans to ensure timely benefits are administered to injured workers. You will also coordinate medical care and legal processes while delivering exceptional service to our insured clients.
Berkshire Hathaway Homestate Companies
Join Our Team Today!Berkshire Hathaway Homestate Companies is actively seeking a knowledgeable and driven Workers Compensation Claims Adjuster. This role is perfect for self-motivated individuals who thrive with minimal supervision, consistently achieve results, and take pride in their work.As a Claims Adjuster, you will manage a diverse caseload of workers compensation indemnity claims, guiding each case from initial investigation through to resolution. Your responsibilities will include assessing compensability, conducting reserve analysis, implementing strategic planning, and ensuring timely administration of benefits to injured workers. Collaboration with medical providers and legal entities is essential, all while delivering exceptional service to our clients.
Join Our Team as a Senior Claims Adjuster!BHHC is actively seeking seasoned professionals in Workers Compensation Claims to enhance our dynamic team. This role is ideal for a motivated self-starter who thrives with minimal supervision, consistently meets objectives, and takes pride in their deliverables.As a Senior Claims Adjuster, you will manage a diverse and complex caseload of workers compensation indemnity claims, guiding them from initial reporting through to final resolution. You will work under general oversight while having the authority to make significant reserve and settlement decisions. We encourage your participation in special initiatives aimed at improving process efficiency.
Position OverviewBHHC is actively seeking skilled Workers Compensation Claims Professionals to join our dynamic team. This role is perfect for a motivated self-starter who thrives in an autonomous environment, consistently meets targets, and takes pride in delivering high-quality work.The Senior Claims Adjuster will manage a diverse and complex caseload of workers compensation indemnity claims from initiation through to resolution. Operating under general supervision, this individual will have elevated reserve and settlement authority while being encouraged to contribute to special projects aimed at enhancing process efficiency.
Cottingham & Butler Claims Services
Cottingham & Butler Claims Services (CBCS) seeks a Workers Compensation Claims Adjuster with hands-on experience handling claims in the Midwest. This remote role centers on managing the full lifecycle of workers compensation claims from investigation through resolution. Key Responsibilities Investigate, evaluate, negotiate, and settle workers compensation claims for CBCS clients Gather statements and collect information from all involved parties Process lost wage benefits and submit required state forms Handle claim denials, subrogation, and litigation processes Maintain clear communication with CEOs, claimants, medical professionals, and attorneys Requirements Experience adjusting workers compensation claims, with a focus on the Midwest region Ability to manage claims across several jurisdictions Strong communication and negotiation abilities Attention to detail and consistent documentation practices Knowledge of workers compensation laws and regulations Remote Work This position is fully remote. Candidates must have prior experience with Midwest workers compensation claims.
BAYADA Home Health Care
Join our dedicated home health care team as a Workers’ Compensation Adjuster. We are looking for a proactive and detail-oriented individual to assist injured employees, collaborate with office leadership, and coordinate with our Third-Party Administrator (TPA) in managing Workers’ Compensation claims. Your role will be pivotal in ensuring that employees receive the necessary support and timely care they deserve.This is a fantastic opportunity for individuals at the beginning of their career in Workers’ Compensation or claims management.POSITION SUMMARY: Under moderate supervision, you will engage in various functions related to the oversight of our Workers’ Compensation claims and the Employee Claims and Safety office (ECS). Responsibilities include: 1) Developing and implementing policies and practices, 2) Preparing reports, analyses, and presentations, and 3) Offering administrative and project support to your supervisor.MINIMUM QUALIFICATIONS:Preferred: Four (4) year college degree.At least two (2) years of experience in handling Workers’ Compensation claims.Basic knowledge of litigated Workers’ Compensation claims.Strong communication skills to interact effectively with service offices, injured employees, and the Third-Party Administrator.Excellent interpersonal skills.Track record of achieving goals.Able to manage multiple tasks efficiently.Ability to organize information and files effectively.Proficient in Microsoft Office Suite including Word, Excel, PowerPoint, and Outlook.Successful pre-employment assessment results.Effective communication skills in English, both written and verbal.PRIMARY RESPONSIBILITIES:Gain insights into various organizational aspects through training, hands-on learning, and site visits.Ensure accurate maintenance of claim notes, records, and reports.Familiarize yourself with the company’s policies and the relevant state Workers’ Compensation laws.Act as a trusted advisor and subject matter expert on Employee Claims functions.Support the office team and provide backup when needed.Deliver exceptional customer service for routine claim inquiries and escalate complex issues to BAYADA’s TPA.
Cottingham & Butler
Cottingham & Butler Claims Services (CBCS) seeks a Workers Compensation Claims Adjuster with hands-on experience handling California claims. This fully remote role is open exclusively to candidates living in California. Key Responsibilities Investigate, evaluate, negotiate, and resolve workers compensation claims for CBCS clients Gather statements, process lost wage benefit payments, and complete all required state forms Issue claim denials and manage subrogation and litigation issues as needed Collaborate directly with CEOs, claimants, healthcare providers, and legal representatives Requirements Current residence in California Demonstrated experience adjusting California workers compensation claims Thorough understanding of California workers compensation laws and regulations Ability to manage claims in multiple jurisdictions Strong communication and negotiation abilities Keen attention to detail Remote Work This position is remote and limited to candidates residing in California.
Berkshire Hathaway Homestate Companies
JOIN OUR TEAMAre you eager to embark on a rewarding career path with a leading organization known for its growth and exceptional training? Berkshire Hathaway Homestate Companies is on the lookout for motivated individuals ready to dive into the world of Workers’ Compensation Claims Adjusting.As a Claims Examiner Trainee, you will undergo a comprehensive training program that will equip you with the necessary skills to manage a caseload of workers' compensation claims from their inception to resolution. Your responsibilities will encompass initial investigations, analytical assessments, strategic planning, oversight of medical care and legal processes, as well as maintaining strong client relationships. You will continuously expand your expertise, with the complexity and volume of your claims increasing as you progress.
Berkshire Hathaway Homestate Companies
Join Our Team as a Workers Compensation Lien Claims Specialist!At Berkshire Hathaway Homestate Companies, we are seeking a dedicated Lien Claims Specialist to become a vital part of our Workers Compensation Division in San Diego! In this role, you will oversee a portfolio of claims that require lien resolution. Your negotiation skills will be key as you work to achieve optimal outcomes while adhering to cost-containment strategies. You will collaborate closely with both internal and external partners, ensuring a service-centric approach to every claim. If you are passionate about making a difference and thrive in a dynamic environment, we want to hear from you!
EAC Claims Solutions LLC
At EAC Claims Solutions LLC, we pride ourselves on our commitment to resolving claims with the utmost integrity and efficiency. We invite you to join our team, where exceptional service is paired with rigorous standards of professionalism and compliance. Discover more about our innovative solutions and community contributions at https://eacclaims.com/Overview:Become a vital part of EAC Claims Solutions as a Property Field Adjuster, where you will oversee insurance claims from their initial stage through to resolution.Key Responsibilities:- Strategically planning and organizing your daily workload to effectively process claims and conduct inspections- Conducting thorough investigations into insurance claims, including interviewing claimants and witnesses- Managing property claims that involve damage to buildings, structures, contents, and/or other property- Performing detailed property damage assessments and verifying coverage- Assessing damages to determine suitable settlements- Negotiating settlements with involved parties- Utilizing our specialized software systems to upload completed reports, photographs, and documents
EAC Claims Solutions LLC
EAC Claims Solutions LLC is committed to delivering claims resolutions with integrity and efficiency. We invite you to be a part of our team, focused on exceptional service while maintaining the highest standards of professionalism and compliance. Discover our innovative approaches and community engagement at https://eacclaims.com/As a Property Field Adjuster, you will oversee insurance claims from initiation to conclusion, ensuring a seamless process.Key Responsibilities include:Effectively planning and organizing daily tasks to manage claims and conduct inspectionsInvestigating insurance claims through claimant and witness interviewsHandling property claims related to damage to buildings, structures, and contentsConducting thorough assessments of property damage and verifying coverageEvaluating damages to determine suitable settlementsNegotiating settlements with stakeholdersUtilizing specialized software systems to upload reports, photos, and documentation
EAC Claims Solutions LLC
At EAC Claims Solutions LLC, we are committed to resolving claims with the utmost integrity and efficiency. Join our dynamic team in providing exceptional service while adhering to the highest standards of professionalism and compliance. Discover more about our innovative approach and community impact at https://eacclaims.com/Overview:As a Property Field Adjuster at EAC Claims Solutions, you will take charge of managing insurance claims from start to finish, ensuring a seamless resolution process for our clients.Key Responsibilities:- Organize and prioritize your daily workload to efficiently process claims and conduct inspections.- Investigate insurance claims by interviewing claimants and witnesses.- Manage property claims that involve damage to buildings, structures, contents, or property.- Conduct detailed assessments of property damage and verify coverage.- Evaluate damages to determine fair settlements.- Negotiate settlements effectively with stakeholders.- Upload completed reports, photographs, and documents utilizing our specialized software systems.
EAC Claims Solutions LLC
At EAC Claims Solutions LLC, we pride ourselves on our commitment to resolving claims with the utmost integrity and efficiency. Join our team and help us provide exceptional service while maintaining the highest standards of professionalism and compliance. Discover more about our innovative practices and community impact at https://eacclaims.com/Position Overview:As a Property Field Claims Adjuster at EAC Claims Solutions, you will be responsible for managing insurance claims from their inception through to resolution. This role is pivotal in ensuring our clients receive fair and prompt outcomes.Key Responsibilities:Organizing and managing your daily schedule to effectively process claims and perform property inspections.Investigating insurance claims, which includes interviewing claimants and witnesses to gather necessary information.Handling property claims related to damage of buildings, structures, and contents.Conducting comprehensive assessments of property damage and verifying insurance coverage.Evaluating damages to settle claims appropriately and negotiating settlements.Utilizing specialized software to upload completed reports, photographs, and documentation.Qualifications:Ability to perform physical tasks such as standing for extended periods, climbing ladders, and navigating confined spaces.Strong communication, organizational, and analytical skills.Proficient in Microsoft Office and claims management software.Self-motivated and capable of working independently while effectively prioritizing tasks.A high school diploma or equivalent is required.Prior experience in insurance claims or a related field is beneficial but not mandatory.Next Steps:If you are passionate about making a positive impact, enjoy taking on challenges, and value your professional contributions, we encourage you to apply. If your application is selected, a recruiter will reach out to discuss the next steps.Join EAC Claims Solutions LLC, where your passion aligns with purpose, and your contributions genuinely matter.
EAC Claims Solutions LLC
At EAC Claims Solutions, we pride ourselves on our commitment to resolving claims with utmost integrity and efficiency. We invite you to join our team, where exceptional service and the highest standards of professionalism and compliance are our guiding principles. Discover more about our innovative approach and community impact at https://eacclaims.com/Overview:As a Property Field Adjuster at EAC Claims Solutions, you will take charge of managing insurance claims from their inception through to resolution, ensuring a smooth and efficient process.Key Responsibilities:- Organizing and planning daily tasks to efficiently process claims and conduct property inspections.- Investigating claims by interviewing claimants and witnesses, ensuring thorough fact-finding.- Managing property claims related to damages to buildings, structures, and contents.- Performing detailed assessments of property damage and verifying coverage.- Evaluating damages for appropriate settlement recommendations.- Negotiating settlements with involved parties.- Utilizing specialized software systems for uploading completed reports, photographs, and necessary documentation.Requirements:- Capability to perform physical tasks such as standing for extended periods, climbing ladders, and navigating tight spaces.- Excellent interpersonal communication, organizational, and analytical skills.- Proficiency in software programs including Microsoft Office and claims management systems.- Self-motivated with the ability to work independently and prioritize tasks effectively.- A high school diploma or equivalent is required.- Previous experience in insurance claims or a related field is advantageous but not mandatory.Next Steps:If you are passionate about making a difference and thrive on challenges, we encourage you to apply. Should your application move forward, a recruiter will contact you to discuss the next steps.Join us at EAC Claims Solutions, where your passion aligns with purpose, and your contributions genuinely matter.
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Workers' Compensation Claims Adjuster
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