What are the responsibilities and job description for the Workers Compensation Adjuster position at Questpro?
Client needs 2 Workers Compensation Adjusters one that lives close to Kenner and one in Alexandria Louisiana if possible. May need to do fully remote. They must have LA license in WC claims.
Positions are largely remote but considered hybrid since in-person meetings will be required at times.
Positions are largely remote but considered hybrid since in-person meetings will be required at times.
- 3 Years Direct experience handling lost time workers' compensation claims. Preferred if license in TX, OK, ARMust have strong verbal and written skills and work well with in a team environment.
- Analyzes and manages complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Assesses liability and resolves claims within evaluation.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
- Prepares necessary state fillings within statutory limits.
- Manages the litigation process; ensures timely and cost-effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Manages claim recoveries, including be not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.