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• Evaluate, reserve, and manage a reduced pending of nationwide Medical Only Workers’ Compensation claims
• Partner with medical providers, customers, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills
• Ensure compliance with state and federal Workers’ Compensation regulations
• Provide exceptional customer service to injured workers, medical providers, and customers
• Responsible for team performance, development, and coaching a team consisting of medical only claims professionals and claims technicians
• Partner with Claims Supervisor to identify training opportunities
• Assist team with escalated issues, claim strategies, coverage positions, and guide team members to the appropriate resources
• Conduct bi-annual performance and development discussions with team members
• Communicate regularly with internal and external stakeholders regarding claim status
• Follow escalation and reporting requirements on claims with significant exposure
• Conduct team Roundtables and Committees to align on reserves and settlement values
• Recognize exposures and ensure reserves are adequate and timely
• Conduct weekly team meetings and regular check-in discussions with individual team members
• Proactively manage claim resolution, including formation and implementation of action plans
• Document claim files in accordance with company and regulatory guidelines
• Identify subrogation potential and red flags that require SIU involvement
• Train new team members; provide ongoing coaching and support to team
• Maintain adjuster licenses, as required

• Active adjuster license
• Previous Workers’ Compensation claims experience required
• Minimum 3 years handling WC claims
• Previous supervisory experience a plus
• Ability to work in a fast-paced, collaborative, virtual office environment
• Strong analytical, organizational, and time management skills
• Excellent written and verbal communication skills
• Ability to work independently and meet assigned deadlines
• Strong negotiation skills
• Ability to multi-task and effectively prioritize tasks with frequent interruptions
• Proficiency with MS Word, Excel and internet applications
• Highly attentive to details
• Able to work under pressure and execute good judgment in sensitive situations
• Strong interpersonal skills
• Excellent written and verbal communication skills
• Strong organizational and computer skills
• Self-motivator: works independently with minimal to moderate supervision
• BA/BS degree required
• AIC, SCLA, CPCU or other industry designation a plus

• Great work environment with growth opportunity
• Competitive compensation
• Generous amounts of vacation and sick time
• Closed on major holidays
• 401(k) with company match
• A fantastic healthcare package
• Tuition reimbursement after 6 months of employment