CA - Senior 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.

Ability to present claims to senior management, internal and external stakeholders.

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

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

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

Evaluate and handle high dollar, high exposure, complex claims.

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

Mitigate  the complex 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.