Claims Adjuster

WALBEC Group
Published
February 18, 2024
Location
Waukesha

Description

Bachelor's degree or equivalent claims work experience of at least 3 (three) years Experience with Risk Management Systems (Stars, Origami) preferred Strong proficiency in Microsoft Office Ability to multi-task in a fast-paced environment and communicate clearly using various mediums is essential Strong communication and interpersonal skills Make sound judgment decisions along with the ability to establish and maintain timetables/deadlines while handling multiple demanding projects High level of discipline and a strong sense of responsibility and accountabilityValid driver's license and considered insurable by insurance standards Under the direction of the Claims Manager, the Claims Adjuster will primarily be responsible for worker's compensation, general and auto liability claims. The Claims Adjuster is a key business partner managing the investigation, reporting, follow up and settlement of claims. Investigate multi-line claims of moderate to severe complexity, including claims in litigation Conduct claim and incident investigationsCommunicate with claimants to obtain information on claim and provide information on claim processCommunicate regularly with Safety, Project Managers and Field for claim and incident documentation Document claim files by entering claim and incident data into Risk Management Information System Set timely, adequate reserves in compliance with the organizations reserving philosophy and methodologyResolve questions of liability and value of claimsSecure the necessary official reports, claim forms and documentsReview bills, invoices, and receipts for accuracy Identifies opportunities for recovery and investigates and pursues accordinglyAssists in litigation, mediations, and arbitrationsCompile claim reports for Management review to assess liability, claim denial, settlement valuation/authority requests, and/or defense position Proven, excellent knowledge of the theory and practice of the claim functionKnowledge of contract and medical terminology, with minimal legal aspects of court proceduresOccasionally assists with special projects or assignments with Safety and LegalCompile, monitor, and maintain safety indicators and update safety dashboard Assists in developing, gathering, filing, and maintaining quarterly MSHA reports and yearly OSHA reporting

Related Jobs

February 18, 2024