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Worker’s Compensation Senior Claims Adjuster  

Position Purpose:

This role independently investigates, evaluates, and negotiates the resolution of assigned claims within approved authority.  The Worker’s Compensation Senior Claims Adjuster is responsible for making recommendations for claim outcomes on claims exceeding level of authority.

Logistics:

This position is full-time (40 hours/week) Monday – Friday in a typical office environment. The work hours for this position are 8:00 AM – 5:00 PM.  This role is located at 17 Technology Circle (GPC) in Columbia, SC.  Some travel may be required.  The position will be remote after initial training.

What You’ll Do:

• You will use advanced subject matter expertise and conduct investigations of assigned Workers’ compensation claims in adherence with corporate timeliness and quality performance standards.  Some claims may require in-person investigation/contact with an independent adjusting firm, accident reconstruction by an engineering firm and/or legal research with or without utilization of counsel.

• You’ll also manage (catastrophic, high exposure and complexity) caseload to ensure proactive disability, medical management and timely response to treatment recommendations, ongoing contact with the injured and insured and a 100% closing ratio.

• The Worker’s Compensation Senior Claims Adjuster will provide direction and possible training to less experienced adjustors on less complex cases as needed.

• You will document activities, case action plans, settlements evaluations and requests for authorization in the claim notes.  Another responsibility is to provide management and internal and external customers with documentation to support recommendations and claims status as required.

• The Worker’s Compensation Senior Claims Adjuster directs the litigation process and work with attorneys to establish defense strategy and case legal budget.  You will negotiate settlements directly with claimants or opposing counsel.  This position may require attendance or testimony at hearings, trials, or mediations.  You’ll evaluate specials, damages and/or extent of disability and negotiate settlements with individuals and/or attorneys.

• You will utilize independent adjustors to assist in the evaluation of liability and for damages and report findings.  You’ll also review the independent adjustor’s reports and handles claim outcome.

To Qualify for This Position, You’ll Need:

• A Bachelor’s Degree – any major OR a two year degree and two years of job-related work experience OR four years of job-related work experience.

• Four years of area-related adjusting experience.

• A valid adjustor’s license in required states or the ability to acquire within six months if required by the resident state’s department of insurance.

• The ability to analyze laws, regulations, and contract language.

• The ability to evaluate issues and develop recommendations.

• You’ll handle confidential and sensitive information.

• The ability to investigate assigned claims.

• The ability to propose claims settlements and/or adjustments and recoveries/refunds.

• The ability to work claims caseloads.

• Knowledge of Microsoft Office applications.

What We Can Do For You:

• Two to three weeks of on-the-job training.

Our comprehensive benefits package includes:

• 401(k) retirement savings plan with company match.

• Subsidized health plans and free vision coverage.

• Life insurance.

• Paid annual leave – the longer you work here, the more you earn.

• Nine paid holidays.

• On-site cafeteria and fitness centers in major locations.

• Wellness programs and a healthy lifestyle premium discount.

• Tuition assistance.

• Service recognition. 

What to Expect Next:

After submitting your application, our recruiting team will review your resume to ensure you meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume and salary requirements.

Management will be conducting interviews with the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.

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To apply, use the link below.

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https://ourhrconnect.wd5.myworkdayjobs.com/SCBlues/job/Columbia-South-Carolina/Workers--Compensation-Senior-Claims-Adjuster_R1025016

Senior Claims Adjuster