CA - Claims Adjuster, Workers Compensation

Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices.

Demonstrated knowledge and experience in claim adjudication, medical management and litigation management.

Developing ability to analyze and take necessary action in multiple focus areas, based on several data points.

Ability to use skills to overcome conflict and reach beneficial outcomes.

Ability to make claim decisions to mitigate exposure while achieving the best outcome.

Conduct timely 3-point contact investigation, with focus on continued investigation as facts of the case change.

Mitigate claim  exposure while achieving the best outcome.

Comply with all applicable statutory guidelines, rules, and regulations.

Control legal activity with defense counsel through the litigation process while managing legal fees and costs.

Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement.