Workers' Compensation Claims Adjuster - City Personnel : Job Details

Are you a compassionate problem-solver with a passion for helping people navigate challenging times? We're actively seeking a talented Workers' Compensation Claims Adjuster to join a leading team and manage the full life cycle of claims, ensuring fair and timely resolutions. This is a vital role for a meticulous professional who can balance empathy with regulatory compliance and has a sharp eye for detail.

If you are an experienced claims professional ready for a new challenge, we encourage you to apply!

Company Highlights:

• Competitive annual salary ranging from $60,000 to $75,000, along with a broad range of compensation initiatives.
• Comprehensive benefits, including health plans, life insurance, and wellness programs for a healthy work-life balance.
• Generous paid time off, plus flexible scheduling and telecommuting options.
• Robust retirement savings plan and 401(k) educational programs to help secure your future.
• Dedicated learning and development opportunities for continuous professional growth.
• A supportive and collaborative atmosphere where teamwork is highly valued.

Key Responsibilities of the Workers' Compensation Claims Adjuster:

• Conduct thorough and objective investigations to determine compensability on claims, leveraging all available resources to ensure a complete and accurate assessment.
• Develop and execute optimal claim resolution strategies, weighing all options and consulting with management to determine the best course of action.
• Proactively facilitate the safe and timely return of injured workers to appropriate work, ensuring all medical treatment is directly related to the accepted injury.
• Utilize your knowledge of medical terminology and procedures to engage and direct necessary resources effectively.
• Evaluate and negotiate moderate dispute claims, and skillfully handle litigated claims with minor issues, providing support on litigation strategy as needed.
• Uphold all Claims Quality Guidelines, handling instructions, and applicable regulations while maintaining required licenses in good standing.
• Accurately set reserves and issue timely payments, projecting future benefits including scarring and loss of use.
• Consider and manage Medicare and other potential exposures early in the life of the claim.

Qualifications of the Workers' Compensation Claims Adjuster:

• Bachelor's degree or 3–5 years of relevant workers' compensation claims experience.
• Comprehensive understanding of WC law, claim procedures, and medical treatment guidelines.
• Tech-savvy with proficiency in the Microsoft Office Suite.
• Strong communication, negotiation, and decision-making skills.
• Demonstrated empathy, professionalism, and a customer-first mindset.
• Reliable transportation is required for occasional local errands.

Submit your resume today for immediate consideration!

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Please Note: City Personnel offers extended interview hours from 7 am-7 pm upon request

City Personnel, Inc. is your trusted local recruitment partner based in Providence, RI. For nearly 20 years, we've been connecting top talent with leading companies right here in Rhode Island and Southern Massachusetts. Our deep understanding of the local job market allows us to offer personalized support and outstanding opportunities. Whether you're seeking temporary, temporary-to-permanent, or permanent positions, we're here to help. Contact us today at (401) ###-#### to find your perfect job match!

City Personnel is an Equal Opportunity Employer. We do not discriminate against applicants due to race, national origin, religion, marital status, military status, disability, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact us at [email protected].