The Jonus Group
Job Description
Workers Compensation Claims Adjuster
Job Summary
Seeking an experienced and detail-oriented Workers Compensation Claims Adjuster to manage indemnity claims from initial report through resolution. This role requires a strong understanding of workers compensation laws and regulations, the ability to evaluate complex claims, and a commitment to timely compliant and customer-focused claim handling. Responsibilities include investigation documentation collaboration with vendors and medical partners and proactive claim resolution.
Responsibilities
Conduct three-point contact on all new losses within required timeframes including outreach to the claimant employer and treating physician
Investigate claims thoroughly to establish compensability disability status and treatment plans
Maintain accurate and timely documentation of all claim activity medical updates and expense payments
Develop and maintain an up-to-date action plan for each assigned indemnity claim to drive timely resolution
Partner with medical case management to support early return-to-work initiatives and minimize extended disability exposure
Coordinate the use of vendors as needed to support claim investigation and resolution
Identify and refer suspected fraudulent claims to the appropriate special investigations unit
Ensure compliance with applicable workers compensation laws regulations and internal guidelines
Compensation Package
Base salary range: $80000 $98000 annually (depending on experience)
Competitive benefits package: paid time off, professional development opportunities, etc.
Qualifications / Requirements
3 5 years of workers compensation claims handling experience
Demonstrated experience managing indemnity claims
Familiarity with applicable workers compensation regulations and procedures
Experience with 4850 claims handling or SIP exposure
Strong organizational, analytical and communication skills
Disclaimer: Please note that this job description may not cover all duties, responsibilities or aspects of the role and it is subject to modification at the employer's discretion.
#LI-JJ1
Key Skills
Load & Unload
Organizational skills
Financial Concepts
Fraud
Math
Mediation Experience
Pricing
Conflict Management
Workers' Compensation Law
Medicare
Negotiation
Workers' Compensation
Employment Type:
Full-Time
Experience:
years
Vacancy:
1
Yearly Salary Salary:
80000 - 98000
#J-18808-Ljbffr
Job Summary
Seeking an experienced and detail-oriented Workers Compensation Claims Adjuster to manage indemnity claims from initial report through resolution. This role requires a strong understanding of workers compensation laws and regulations, the ability to evaluate complex claims, and a commitment to timely compliant and customer-focused claim handling. Responsibilities include investigation documentation collaboration with vendors and medical partners and proactive claim resolution.
Responsibilities
Conduct three-point contact on all new losses within required timeframes including outreach to the claimant employer and treating physician
Investigate claims thoroughly to establish compensability disability status and treatment plans
Maintain accurate and timely documentation of all claim activity medical updates and expense payments
Develop and maintain an up-to-date action plan for each assigned indemnity claim to drive timely resolution
Partner with medical case management to support early return-to-work initiatives and minimize extended disability exposure
Coordinate the use of vendors as needed to support claim investigation and resolution
Identify and refer suspected fraudulent claims to the appropriate special investigations unit
Ensure compliance with applicable workers compensation laws regulations and internal guidelines
Compensation Package
Base salary range: $80000 $98000 annually (depending on experience)
Competitive benefits package: paid time off, professional development opportunities, etc.
Qualifications / Requirements
3 5 years of workers compensation claims handling experience
Demonstrated experience managing indemnity claims
Familiarity with applicable workers compensation regulations and procedures
Experience with 4850 claims handling or SIP exposure
Strong organizational, analytical and communication skills
Disclaimer: Please note that this job description may not cover all duties, responsibilities or aspects of the role and it is subject to modification at the employer's discretion.
#LI-JJ1
Key Skills
Load & Unload
Organizational skills
Financial Concepts
Fraud
Math
Mediation Experience
Pricing
Conflict Management
Workers' Compensation Law
Medicare
Negotiation
Workers' Compensation
Employment Type:
Full-Time
Experience:
years
Vacancy:
1
Yearly Salary Salary:
80000 - 98000
#J-18808-Ljbffr