Field Claims Adjuster in a hybrid role at ClaimsPro supporting claims in Prince Albert area. Actively adjusting claims and ensuring business development opportunities are maximized.
IS
Hybrid Workers Compensation Claims Adjuster – III
Posted 2 days ago
About the role
- Claims Adjuster managing complex indemnity claims at AvonRisk. Collaborating with teams to ensure accurate claim management and compliance with legal requirements.
Responsibilities
- Reports directly to the unit Claims Supervisor
- Manage an assigned inventory of claim files that may include cases of extreme complexity
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim
- Document ongoing case facts and relevant information
- Assure all assigned indemnity claims have an up to date plan of action
- Partner with the medical case manager to maximize early return to work potential
- Initiate the referral to the SIU of cases with suspected fraud
- Aggressively pursue subrogation from culpable third parties
- Review and approve all vocational rehabilitation plans
- Establish, monitor, and adjust monetary case reserves as warranted
- Review all medical bills for appropriateness before referral for payment
Requirements
- Bachelor's degree (B. A.) from four-year college or university
- At least seven years related experience and/or training
- Equivalent combination of education and experience
- Requires a high degree of claims handling expertise
- Minimum of at least five years experience managing indemnity cases
- Experience with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues
- Possess an SIP certificate
Benefits
- Comprehensive medical, dental, and vision benefits
- Company contributions to HSA and FSA plans
- Employer paid life and disability insurance
- 401(k) with company match
- Paid time off (PTO) and company paid holidays
- Learning and development opportunities that support real career advancement
- Employee assistance resources and a supportive culture that values balance and wellbeing
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