Workers’ Compensation Claims Adjuster (Southeast)
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
Berkshire Hathaway GUARD