Claims Adjuster II

Role Overview

• Reports directly to the unit Claims Supervisor.
• Responsible for effectively managing to conclusion an assigned inventory of claim files.
• Perform a three-point contact on all new losses within 24 hours of receipt of the claim.
• Document relevant facts surrounding the incident itself as well as disability and treatment status.
• Gather evidence regarding ongoing case facts and relevant information necessary for establishing compensability.
• Form a partnership with the medical case manager to maximize early return to work potential.
• Initiate the referral to the SIU of cases with suspected fraud.
• Review and approve all vocational rehabilitation plans.
• Establish, monitor, and adjust monetary case reserves when warranted.

Requirements

• Bachelor’s degree (B. A.) or equivalent from four-year college or; or 3-5years related experience& training, 5 years without a SIP certificate, or equivalent combination of education and experience.

Benefits

• WFH Flexible