Claims Adjuster- Worker's Compensation

Boca Raton, Florida (US)

 

An innovative employee friendly Claims’ Third Party Administrator (TPA) has a brand new opening for an experienced career minded Workers' Compensation Adjuster w/min 3+ years’ experience. The position will be onsite (flexible M-F work schedule) in their Boca Raton Office.  File counts are kept to a minimum with helpful Administrative staff and user-friendly efficient software systems. Qualified Applicants MUST have direct Lost Time Claims handling experience and an active FL Adjusters' License, exposure to Public Entity Accounts is a plus!  

Responsibilities:

Complete 3-point contact on new claims within 24 hours in order to obtain information necessary to make a compensability decision on the claim

Establishes appropriate reserve levels based on financial exposure and updates reserves upon receipt of new information

Directs assistant to properly pay indemnity benefits payments and Awards. Issue state-mandated benefit notices within the required timeframes.

Annotates, categorizes and addresses incoming mail on a daily basis.

Responds to questions and requests from the client.

Qualifications:

REQUIRED LICENSE:

FL WC

KNOWLEDGE:

Workers’ Compensation law; policies and procedures

Medical and legal terminology, Integration with Medicare

Required Experience

3+ progressive Workers’ Compensation Experience

Skills: claims, workers' compensation