Claims Associate at Qover engaging with customers for claims processing. Assisting in claim assessments while ensuring clear communication and providing support in various languages.
IS
Hybrid Workers Compensation Claims Adjuster, III
Posted 3 months ago
About the role
- Claims Adjuster managing an assigned inventory of claim files under the supervision of a Claims Supervisor. Responsible for effective case management and documentation of ongoing case facts.
Responsibilities
- Reports directly to the unit Claims Supervisor
- Responsible for effectively managing to conclusion an assigned inventory of claim files
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim
- Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability
- Form a partnership 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
Requirements
- Bachelor's degree (B. A.) from four-year college or university
- At least seven years related experience and/or training
- Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases
- Possess an SIP certificate
Benefits
- WFH Flexible
- Equal opportunity employer
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