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Senior Workers Compensation Claims Adjuster
Ref No.: 18-07934
Location: Warren, New Jersey
Position Type:Direct Placement
Experience Level: 4 Years
Start Date: 08/16/2018
Our client is a leading and growing commercial insurance carrier ranked as the 8th largest carrier in the world. They have an established and growing presence in the US and an outstanding reputation. They have a retirement coming up and are looking to fill the role being left by this retirement. This person will strictly handle workers compensation claims. The open case load is approximately 135 to 140 open files with about 10% of them involved in litigation. You will be responsible for the investigations, negotiations and settlement of these files. You will be working on-site for one of our clients most prestigious clients in a small office with a manager and 4 other adjusters. It's very friendly and laid back.
  1. Service the claim needs of our customers, including insureds, claimants, brokers etc. in accordance with company policy and procedures.
  2. Receive new claim assignments. Analyze the nature of the claim to determine required investigation and handling. Determine and identify coverage issues or questions of compensability in accordance with the organization's Claims Handling Guidelines.
  3. Perform timely and thorough investigations in an effort to comply with all jurisdictional requirements and/or entitlements.
  4. Conducts an informed case analysis to address claim entitlements. Initiate reserve changes within assigned authority, makes recommendations to supervisor or manger where assigned authority is exceeded
  5. Manage, control and negotiate timely and equitable claim payments and settlements in accordance with jurisdictional and fair claims practices requirements and company policy and procedures
  6. Investigate, evaluate and resolve moderate level litigated files including all aspects of litigation management in accordance with the organization's Claims Handling Guidelines.
  7. Maintain current case diary and ensure appropriate hard copy file documentation. Provide accurate claims system documentation as required by company claim manuals and procedures. Responsible for completion and/or submission of claim forms and reports as required by outside agencies.
  8. Investigate and evaluate recovery potential. Conduct timely and thorough subrogation investigation in accordance with company policy and procedures. Timely completion and referral of all claims involving recovery potential.
  9. Service the claim needs of our customers, including insureds, claimants, brokers etc. in accordance with company policy and procedures.
  10. Partner with internal and external customers to bring about an appropriate claim resolution in a timely and effective manner in accordance with the organization's Claims Handling Guidelines.
Must have a at least 5 years of workers compensation claims adjusting experience.
A Bachelor's degree is preferred along with IAA, AEI or CPCU designation.

If interested, please submit resume and contact information to nancym@arcgonline.com
*please note that only candidates with the appropriate experience will receive a response