Workers’ Compensation Claims Adjuster (Southeast)

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  • Environmental
  • FlexTime
  • FullTime
  • Applications have closed

Responsibilities The Complex Claims Adjuster would handle loss time complex level claims throughout multiple jurisdictions with a heavy concentration in the Southeast (FL/GA/TX).

  • Determines compensability and/or coverage issues for workers’ compensation loss time claims
  • Negotiates and completes settlements under management’s review
  • Gathers medical and factual evidence
  • Coordinates and directs the activities of outside investigation
  • Manages outside counsel and litigation within given authority
  • Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
  • Completes timely and efficient claims handling responsibilities

Qualifications

  • 3+ years of loss time workers compensation experience in the Southeast including litigated claims is required
  • Flexibility and positive attitude a must
  • Ability to learn claims handling procedures in multiple states as needed
  • Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
  • Shows positive attitude toward GUARD and claims department
  • Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
  • Innovative thinker with the ability to multi-task
  • Excellent verbal and written communication skills
  • Bachelor’s degree or an equivalent combination of education and experience preferred
  • Active adjuster license

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