This site uses cookies. To find out more, see our Cookies Policy

Claims Adjuster - Workers Compensation in Dublin, OH at QuestPro Consultants

Date Posted: 1/30/2019

Job Snapshot

  • Employee Type:
  • Location:
    Dublin, OH
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Title:  Senior Claims’ Examiner – Workers’ Compensation

Innovative employee friendly Claims’ Third Party Administrator(TPA) has a brand new opening for an experienced career minded Workers' Compensation Adjuster w/min 4+ years’ experience.  Position will be onsite (flexible M-F work schedule) in their Greater Columbus, OH Branch.  File counts are kept to a minimum with helpful Administrative staff and user friendly efficient software systems.  Qualified Applicants MUST have direct Lost Time Claims handling experience and active OH Adjusters' License, exposure to W. VA and/or willing to obtain W. VA License.

General Description:

Manage within company standards and best practices complex and problematic high visibility workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim.

Essential Job Duties:

  1. Receives claim, confirms policy coverage & acknowledgement of claim
  2. Determine validity & compensability of claim by investigating & gathering info, file necessary documentation with state agencies
  3. Establish reserves & authorize payments within reserving authority limits
  4. Develop and manage well documented action plan with case manager, attorney, supervisor & client to reduce overall cost of claim
  5. Coordinating early return to work efforts with case manager & employer
  6. Negotiates settlements when necessary
  7. Actively manage the litigation process
  8. Identifies potential subrogation claims
  9. Communicate claim status with customer and claimant
  10. Adhere to client guidelines & participate in claim reviews as needed
  11. Develops & maintains professional customer relationships

Education/Training Requirements:

  1. Degree at an accredited college or university preferred
  2. Three years handling claims WC Lost Time 
  3. Excellent oral, written communication skills & customer service
  4. PC literate, including Microsoft Office (Word, Excel)
  5. Effective analytical & interpretive skills
  6. Strong organizational skills
  7. Great interpersonal skills

Skills: claims, workers compensation, adjuster, Bonus: no Reason Open: growth

Min. 3+ years handling OH loss time WC Files  W. VA a plus  ..willing to work onsite M-F. standard 40 hr work week w/ flex hours