Associate Claims Adjuster, Workers Compensation

• →Manages an inventory of claims to evaluate compensability/liability.
• →Establishes action plans based on case facts, best practices, protocols, regulatory issues, and available resources.
• →Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages.
• →Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary, during the processing of the claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate.
• →Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
• →Performs other duties as assigned.

• Effective interpersonal, analytical and negotiation abilities required
• Ability to provide information in a clear, concise manner with an appropriate level of detail
• Demonstrated ability to build and maintain effective relationships
• Demonstrated success in a professional environment; success in a customer service/retail environment preferred
• Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
• Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory
• Licensing may be required in some states

As part of the application process, you'll complete an assessment related to the skills needed for this role — please allow approximately 35 minutes, although there is no time limit