Description

WHO WE ARE

Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting-edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success.

WHAT WE'RE LOOKING FOR

The Medical Only Adjuster confirms compensability of claims and monitors closely for possible lost time. Corresponds and phone contact with insureds, claimants, and providers when applicable. Assists Claims Adjusters as necessary.

A GLIMPSE INTO YOUR DAY

• Contacts clients, claimants and medical providers for work status of claimants.
• Assesses claims for possible subrogation opportunities.
• Authorizes medical treatment and confirms medical necessity/major contributing cause as warranted.
• Approves medical bills.
• Follows up with medical providers for MMI (maximum medical improvement).
• Ensures that each medical and hospital bill has all required information.
• Returns incomplete bills to providers daily.
• Maintains proper reserves.
• Enters bills to be paid in a timely manner.
• Maintains open/closed files monthly and monitors claims for possible lost time.
• Reviews and diaries files for timely and appropriate closure monthly.
• Sets up medical appointments for injured employees.
• Assists loss time adjusters with indemnity payments.
• Performs other duties as assigned.

Requirements

WHAT SUCCESS LOOKS LIKE IN THIS ROLE

• Workers’ Compensation Adjuster License or All-lines Adjuster License required within 90 days of hire. 
• High School Diploma.
• One to three months medical or legal experience desired or equivalent combination of education and experience.
• Excellent communication and interpersonal skills; expresses thoughts and ideas clearly, both verbally and in writing; establishes trust and confidence quickly.
• Able to comprehend simple written and oral instructions.
• Basic skills in Microsoft Office (primarily Word and Excel). Must be computer literate with the ability to learn new software applications.
• Ability to function effectively under tight time constraints, consistently meet strict deadlines, prioritize, and handle multiple tasks in a demanding work environment.
• Ability to communicate appropriately and build professional relationships with employees at all levels of the organization.
• Willingness to adhere to all principles of confidentiality.
• Ability to represent the company in a professional manner to both internal and external customers and clients.
• Ability to maintain a high level of tact and professionalism.

WHY CHOOSE RELATION?

• Competitive pay.
• A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
• Career advancement and development opportunities.
• Paid training and continuing education to obtain/maintain your adjuster license.

Note: The above is not all encompassing of the full position description. 

Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting. 

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.