Workers Compensation Claims Adjuster-Tampa

Employer
QuestPro
Location
Tampa, Florida
Salary
Not Specified
Posted
Oct 23, 2019
Closes
Dec 16, 2019
Ref
6422596#GIJtoGJS.1
Industry
Insurance
Category
Insurance

We are partnered with a Risk Management Company in Tampa Florida who as an immediate need for a Workers Compensatoin Claims Adjuster.

Need to have experience in FL, AL, & GA with Litigation experience. Must be licensed in FL

Job Description:
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines.

Responsibilities:
· Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature
·Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable)
·Alert Supervisor and Special Investigations Unit to potentially suspect claims
·Ensure timely denial or payment of benefits in accordance with jurisdictional requirements
·Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure
·Negotiate claims settlements with client approval
·Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition

Requirements:
· Bachelor's degree, or four or more years of equivalent work experience required in an insurance related industry required
·At least 3-5 years' experience handling lost time workers compensation claims required; past experience with FL, AL & GA jurisdictions are required
·Associate in Claims (AIC) Designation or similar professional designation desired.
·Familiarity with medical terminology and/or Workers' Compensation

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