Note: The job is a remote job and is open to candidates in USA. CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions. They are seeking a Sr. Claims Adjuster, Workers' Compensation to investigate, manage, and resolve claims in compliance with policies and state laws.
Responsibilities
• Knowledge of policy documents for coverage verification
• Provide account servicing support on claim issues to policyholders including travel as required
• Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements
• When necessary, attend In-Person meetings with injured workers, employers, and medical providers
• When necessary, assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action
• Follow up with injured workers, policyholders, and medical providers to monitor progress
• Consult with attorneys regarding litigation management, settlement strategy, and claim resolution
• Maintain electronic files necessary for documentation of the claim file including coding, contacts, financial data, and plan of action
• Review reserves for appropriateness and file timely reports on all serious loss claims as required by ANIC policy and regulatory standards
• Promote the team approach to case and account management
• Perform other duties as assigned
• Bilingual in Spanish preferred, pay differential available
Skills
• High school graduate
• 5 years or greater of Workers' Compensation adjusting experience
• In-depth knowledge of Workers' Compensation laws
• Knowledge of medical and legal terminology and procedures
• General computer skills
• Excellent written and verbal communication skills
• Strong interpersonal skills
• Effective negotiation skills
• Ability to prioritize workload to meet deadlines
• Ability to work well in a team environment
• Bilingual in Spanish preferred, pay differential available
• Bachelor's degree preferred
Benefits
• Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan.
• We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
• Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year.
• In addition, employees will also receive 10 paid holidays throughout the calendar year.
• CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits and business casual dress.
Company Overview
• CopperPoint Insurance Companies operates as a premier provider of workers compensation insurance. It was founded in 1925, and is headquartered in Phoenix, Arizona, USA, with a workforce of 501-1000 employees. Its website is https://www.copperpoint.com/.
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