Blue Star - Medical Only Occupational Accident Claims Adjuster/Work Comp Paralegal or Legal Assistant/Work Comp Adjuster

Blue Star Claims LLC is a Third-Party Administrator specializing in Occupational Accident Claims throughout the United States. This is an excellent opportunity to work in a growing and dynamic work environment. We believe in delivering a high-quality work product to our clients with emphasis on communication and service. We believe in providing an environment where employees enjoy coming to work every day, provide the resources needed to perform their job and assign manageable caseloads. The Occupational Accident Claims Adjuster is responsible for the investigation and adjustment of assigned Occupational Accident claims. At Blue Star, Our Expectation Is That You Investigate and adjust occupational accident claims in accordance with established claims handling procedures using Blue Star guidelines and supervisionReview medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing occupational accident claimsAuthorize and make payment of occupational accident claims utilizing our claim processing protocol in accordance with policy language and within authority levelsProcess medically necessary and related bills according to Policy provisionsMake supported and educated claim decisions timelyForecast potential exposure for reserving claimsHave continued contact with policyholdersNegotiate settlements, if appropriate pursuant to the terms of the policy and within authority levelsDeliver quality claim service to clients and be responsive to client needsFamiliarize yourself with jurisdiction challenges you may face and be mindful of potential exposureManage your time efficiently and utilize your attention to detail to every claim you work onUse established forms and modify letters pursuant to Policy provisionsReview and document medical records outlining treatment plan, restrictions and plan of actionAble to identify mechanism of injury vs symptoms vs non-related conditionsPolicy review and administration of benefits pursuant to policy termsManage claim to optimal resolution; paying for what we owe with relation to the policies we administerEstablish valuable relationships with our Insureds / Motor Carriers / Brokers / Providers / Preferred VendorsWork as a team playerBe flexible, use initiative and work with minimum of direct supervisionUse discretion and confidentiality requiredClearly communicate verbally and/or in writing both internally and externallyBe organized, a self-starter and prioritize your duties with attention to detailPerform other duties as assigned Requirements Highschool diploma or equivalentAt least two years of experience in some manner of medical type claims, claims adjusting, paralegal or legal assistant.Microsoft Office experienceCompletion of our pre-employment assessment via the link below. https://www.ondemandassessment.com/link/index/JB-87PS9BLTA?u=93138 What We Offer Competitive salary and potential performance-based bonuses Medical, dental, and vision insurance 401(k) with company match Paid time off and holidays Professional development opportunities A supportive, collaborative work environment CASELOADS OF ADJUSTING PERSONNEL [Average] Medical Only = up to 150