CopperPoint Insurance Companies
Senior Workers’ Compensation Indemnity Adjuster
CopperPoint Insurance Companies, Des Moines, Iowa, United States
Overview
Senior Workers’ Compensation Indemnity Adjuster – fully remote role at CopperPoint Insurance Companies. The ideal candidate must possess Nevada jurisdiction technical claims knowledge. The Senior Workers’ Compensation Indemnity Adjuster is responsible for analyzing time loss workers’ compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements. As well as establish and maintain action plans and reserves to ensure proactive, cost-effective claims management. Job Responsibilities
Analyze and investigate indemnity claims to determine compensability by interpreting and applying laws, rules, and regulations of workers’ compensation. Utilize all available resources as appropriate. Build and maintain professional relationships with injured workers, policyholders, brokers and agents through proactive claim management and timely communications. Appropriately document communications and claim management activities. Develop, maintain and adhere to action plans and reserves on indemnity claims while proactively managing claims to resolution. Establish and maintain cost drivers and data elements to ensure accurate NCCI and Medicare reporting. Proactively manage claims in accordance with company standards and statutory requirements. Ensure timely payment of indemnity and medical benefits. Actively utilize all available cost containment measures and programs. Identify settlement opportunities. Negotiate settlements with claimants and attorneys. Conduct dispute resolution with claimants and attorneys. Testify at hearings when necessary. Qualifications / Competencies
Excellent customer service skills including initiative, mature judgment and discretion. Bachelor’s degree (B.S. or B.A.) in business administration, communications, or a related field from an accredited four-year college or university is preferred. A minimum of 2 years related experience in insurance claims operations. Nevada workers’ compensation claims management experience is required. Experience in other states in the region (AZ, UT, CO, TX, OK, KS, MO, NM) is preferred. Nevada Adjuster’s license is mandatory if the applicant resides outside of Nevada. Bilingual in Spanish preferred. Strong technical claims knowledge with prior successful experience in workers’ compensation and other commercial lines claims management. Knowledge of Department of Insurance (DOI), NCCI, and Department of Labor and Employment (CDLE) rules and regulations. Ability to analyze, interpret and apply laws, rules and regulations pertaining to workers’ compensation. Ability to stay current with changes to statutory, industry rules and regulations as well as company policies and procedures which may impact claims management. Ability to set priorities, manage time, organize work and meet deadlines. Salary Range
$67,000.00 - $98,000.00 annually Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus. Benefits
Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. CopperPoint provides some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistance Plan). Employees accrue Paid Time Off (PTO) at 0.0769 hours per paid hour, totaling up to 20 days per year, plus 10 paid holidays. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace.
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Senior Workers’ Compensation Indemnity Adjuster – fully remote role at CopperPoint Insurance Companies. The ideal candidate must possess Nevada jurisdiction technical claims knowledge. The Senior Workers’ Compensation Indemnity Adjuster is responsible for analyzing time loss workers’ compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements. As well as establish and maintain action plans and reserves to ensure proactive, cost-effective claims management. Job Responsibilities
Analyze and investigate indemnity claims to determine compensability by interpreting and applying laws, rules, and regulations of workers’ compensation. Utilize all available resources as appropriate. Build and maintain professional relationships with injured workers, policyholders, brokers and agents through proactive claim management and timely communications. Appropriately document communications and claim management activities. Develop, maintain and adhere to action plans and reserves on indemnity claims while proactively managing claims to resolution. Establish and maintain cost drivers and data elements to ensure accurate NCCI and Medicare reporting. Proactively manage claims in accordance with company standards and statutory requirements. Ensure timely payment of indemnity and medical benefits. Actively utilize all available cost containment measures and programs. Identify settlement opportunities. Negotiate settlements with claimants and attorneys. Conduct dispute resolution with claimants and attorneys. Testify at hearings when necessary. Qualifications / Competencies
Excellent customer service skills including initiative, mature judgment and discretion. Bachelor’s degree (B.S. or B.A.) in business administration, communications, or a related field from an accredited four-year college or university is preferred. A minimum of 2 years related experience in insurance claims operations. Nevada workers’ compensation claims management experience is required. Experience in other states in the region (AZ, UT, CO, TX, OK, KS, MO, NM) is preferred. Nevada Adjuster’s license is mandatory if the applicant resides outside of Nevada. Bilingual in Spanish preferred. Strong technical claims knowledge with prior successful experience in workers’ compensation and other commercial lines claims management. Knowledge of Department of Insurance (DOI), NCCI, and Department of Labor and Employment (CDLE) rules and regulations. Ability to analyze, interpret and apply laws, rules and regulations pertaining to workers’ compensation. Ability to stay current with changes to statutory, industry rules and regulations as well as company policies and procedures which may impact claims management. Ability to set priorities, manage time, organize work and meet deadlines. Salary Range
$67,000.00 - $98,000.00 annually Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus. Benefits
Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. CopperPoint provides some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistance Plan). Employees accrue Paid Time Off (PTO) at 0.0769 hours per paid hour, totaling up to 20 days per year, plus 10 paid holidays. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace.
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