Job description

Workers’ Compensation Claims Adjuster - Indiana Claims

CompOne Administrators, Inc. is currently looking for an experienced Workers’ Compensation Claims Adjuster to handle Indiana claims. The Workers' Compensation Claims Adjuster is responsible for investigating, evaluating, organizing, and settling the most complex claims and highest exposures with minimal supervision for Indiana claims. The Workers’ Compensation Claims Adjuster must be able to work independently, be solutions-oriented, and provide the highest quality customer service.

At CompOne Administrators, we believe that our real business is solving problems and we are looking for professionals who pride themselves on exceeding customer standards, building partnerships, and solving problems with honesty, integrity and trust.

DUTIES AND RESPONSIBILITIES

• Follow CompOne Administrator’s best practices and client specific instructions for claim handling
• Investigate complex and lost time workers’ compensation claims
• Determine compensability and subrogation potential
• Authorize medical treatment, hospitalization, and surgery
• Approve and coordinate payment of medical bills, indemnity benefits, and death benefits
• Accurately assess claim to set and continually monitor appropriate reserves
• Comply with excess insurance carrier reporting
• Maintain claim file documentation with details of claim
• Interact frequently with client, claimant, providers, and others as needed
• Develop and communicate detailed action plans for moving case to conclusion
• Prepare and present claim summary reports
• Attend claim review meetings
• Communicate and collaborate with client to manage claim
• Explain workers’ compensation benefits to clients and employees
• Assign and manage legal counsel and vendors as needed
• Performs other duties as assigned
• Travel to meetings approximately 5% or as needed

REQUIRED EXPERIENCE & SKILLS

• At least 5 years of demonstrated experience handling workers’ compensation claims in the state of Indiana
• Extensive knowledge and understanding of the Michigan Workers’ Disability Compensation Act and other applicable laws, procedures, and regulations
• Knowledge of medical and technical terminology used in workers’ compensation claims
• High school diploma or equivalent
• Understanding of self-insured clients and third party administration of claims
• Excellent verbal and written communication skills with the ability to explain rules, policies, and benefits
• Ability to organize, prioritize, and meet deadlines
• Strong interpersonal and customer service skills
• Detail oriented
• Proper use of judgement and decision making
• Perform proactively and creatively to drive the best outcomes

CompOne Administrators is a privately held, family-owned company that has assembled a dynamic group of insurance services companies, guided by three dominant principles: Integrity, Continuity, and Innovation. We offer a competitive salary and benefits package and have an outstanding company culture!

At CompOne Administrators, we are committed to fostering, cultivating, and embracing a culture of inclusion and equality. We welcome and encourage diversity in the workplace and are fully committed to promoting and preserving an environment that supports growth and advancement in all aspects of business.

CompOne Administrators is an equal opportunity employer and will not unlawfully discriminate against qualified applicants with respect to any terms or conditions of employment based on race, color, national origin, ancestry, gender, sexual orientation, age, religion, creed, marital status, military service status, union/non-union activity, citizenship status or other characteristic protected by state of federal law or local ordinance. This includes compliance with all federal, state and local laws providing for nondiscrimination on the basis of disability in all aspects of the employment process and the requirement to provide reasonable accommodations to qualified individuals with disabilities in accordance with those laws.

CompOne Administrators participates in the E-Verify program where required by state law. FDI Group will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s I-9 to confirm work authorization.

Job Type: Full-time

Pay: Up to $65,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

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