Workers Compensation Claims Medical Only Adjuster - Hybrid GA
Lawrenceville, GA · Hybrid
About this role
Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking an enthusiastic Workers’ Compensation Medical Only Adjuster to join our team in the Lawrenceville, GA office. This is a hybrid role.
Position Summary
The Workers Compensation Claims Medical Only Adjuster is responsible for the administration of medical-only, settled and awarded workers’ compensation claims. The right person will maintain timely correspondence and determine the best course of action with low to medium levels of autonomy while working closely with clients, their employees and attorneys as a new to experienced claims professional.
Essential Functions
- Investigate new claims and initiate timely contacts with clients, claimants and medical providers to determine compensability.
- Review medical reports and determine eligibility for benefits / payments.
- Confirm settlement and award values, documenting claims with benefits due.
- Negotiate buy-out settlements when appropriate and authorized.
- Respond to excess carrier requests regarding claim status and follow through on recommended actions.
- Reserve files to reflect lifetime / statutory medical exposures.
- Ability to meet defined adjuster job performance expectations including remaining responsive within the same day to management, clients, claimants and others during assigned core business hours, pre-approved by the supervisor.
- Refer claims occasionally to defense counsel, remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses.
- Meet with clients and account management to conduct claim reviews. This involves virtual meetings to present cost reports, reserves, active claims and settlement recommendations.
- Performs other duties and attend meetings as assigned by your Supervisor.
Qualifications & Requirements
- Working knowledge of state law and procedures for handling post award and/or medical only workers compensation claims.
- Familiarity with medical terminology is essential.
- Exceptional communication and interpersonal skills.
- Detail-oriented with strong organizational and time management skills.
- Excellent customer service and telephone skills.
- Continuing education and seminars related to changing laws and regulations.
- Ability to work in a team environment under direct management direction to complete assignments.
- College degree is preferred.
Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, disability, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things in a supportive and collaborative environment, then we may be the place for you.
Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.
Equal Opportunity Employer
Here at Charles Taylor we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.
Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.
About Charles Taylor
Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers’ compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.
Company at a glance
Charles Taylor provides an unrivalled and growing range of insurance services, claims and technology solutions across the globe, with a specialism in complex situations requiring distinctive technical expertise and technology. We aim to build long-term client relationships spanning multiple value-creating solutions, and to consistently delight our clients with the quality and responsiveness of our people and delivery.
We have 3,000+ experts based around the globe in more than 120 locations spread across 30 countries in the UK & Europe, the Americas, Asia Pacific, the Middle East and Africa.
Visit our website for more information.
Founded1884
Team Size1,001-5,000 employees
WorkspaceHybrid
IndustryInsurance
Location
Lawrenceville, Georgia, United States
Websitecharlestaylor.com
LinkedInLinkedIn
Top Benefits
- Medical
- Dental
- Vision
- Disability
- Life insurance
- 401(k) with match
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