Job Description

Job Description

Job Description

Salary: $55,000-$90,000 annual salary

JOB DESCRIPTION

The Claims Adjuster with SteadPoint Risk Management Solutions is responsible for maintaining and handling workers'
compensation claims by determining compensability, investigating with specific focus on acquisition of recorded statements
of claimant or witnesses, coordinating medical care, assigning legal counsel if deemed necessary, and directing or
coordinating workers' compensation benefits. The Claims Adjuster will focus on reserve practices, medical terminology,
communication, organization, and directing claim development from onset to conclusion or settlement. Prefer candidate to have experience handling multiple jurisdictions, including GA and TN. Candidate must be comfortable working in a fast paced environment.

JOB FUNCTIONS AND RESPONSIBILITIES

• Receipt, review, and analyze incoming claims.
  
• Produce necessary documentation for justification of
  compensability and/or denial of claim.
  
• Must be able to answer, service, and document calls
  pertaining to policy benefits and determine whether
  the call needs to be referred to a supervisor.
  
• Follow up and complete work that originates from the
  calls received if applicable.
  
• Maintaining caseload by managing lost time claims.
• Take statements of injured worker, insured, potential
  witnesses, as necessary, in the scope of investigative
  duties of the claim.
  
• Process lost time benefits and coordinate meds, assign
  nurse case management, assign legal counsel if deemed
  necessary, and/or surveillance when appropriate.
  
• Solicit PPI from physician, calculate awards, and initiate
  settlements to resolve claim.

REQUIREMENTS

• Some college preferred or equivalent insurance claims
  handling experience of at least 5 years.
• Appropriate ICA continuing education coursework.
  
• State claims adjuster license.

Why SteadPoint?

BENEFITS

• HEALTH & DENTAL BCBS
  
• LONG-TERM DISABILITY
  
• TERM LIFE INSURANCE
  
• FITNESS REIMBURSEMENT
  
• GROWTH OPPORTUNITIES
• VSP VISION
  
• SHORT-TERM DISABILITY
  
• 401K MATCHTING
  
• COMPETITIVE PTO

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