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Claims Adjuster - Workers Compensation in Waukesha, WI at QuestPro Consultants

Date Posted: 1/29/2019

Job Snapshot

  • Employee Type:
  • Location:
    Waukesha, WI
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Seeking an experienced Workers Compensation Adjuster for insurance carrier in Waukesha WI. Ideal candidate will have excellent interpersonal skills, previous claims experience and able to work in office.

This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other staff in the office.

  • Effectively manages a caseload of indemnity workers’ compensation files with supervison.
  • Initiates and conducts investigation in a timely manner based upon state law and  Best Practices for claim handling with direction from supervisor.
  • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines with direction from supervisor.
  • Manages medical treatment and medical billing, authorizing as appropriate based on claims handling guidelines.
  • Triggers litigated cases with City Attorney with supervisor to establish plan of action and obtain settlement authority to commence settlement negotiations with Applicant Attorney.
  • Communicates with claimants, providers and vendors regarding claims issues.
  • Maintains diary system for case review and document file to reflect the status and work being performed on the file.
  • Negotiates and/or finalize all claims 
  • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns with direction from supervisor.

  • 3+ years of WC Claims experience 
  • WI or MN claims experience 
  • Excellent communication skills 
  • Computer savvy - Excel 


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