Claims Adjuster (Workers' Compensation)

Schedule

Monday - Friday | 8:00am - 4:30pm

Job Summary

The Claims Adjuster reports to the Worker's Compensation Attorney and is responsible for all processes related to Workers' Compensation claims.

Minimum Education

A High School Diploma or GED.

Licensure, Registration and/or Certification

State of Oklahoma Insurance Department Res Co Staff Adjuster - Worker Comp License.

Work Experience

3 - 4 years related experience.

Knowledge, Skills and Abilities

• Excellent interpersonal communication skills.
• Ability to type 55 wpm minimum, utilize Microsoft Office Suite and ability to learn additional software applications.
• Ability to multi-task and utilize and perform constant decision-making skills.

Essential Functions and Responsibilities

• Receives, reviews, investigates and establishes incident reports, events, claims and reserves in a timely and accurate manner, including OSHA Log tracking.
• Receives, reviews, pays and enters all WC expenses, billing and medical treatments.
• Reviews and adjusts reserves in an efficient and accurate manner, closing files timely.
• Receives, reviews and prepares all legal pleadings and correspondence.
• Enters file activity and communications in a timely manner.
• Maintains filing and reporting requirements.
• Maintains regulatory OSHA Logs and reporting for SFHS.

Decision Making

Independent judgment in making decisions involving non-routine problems under general supervision.

Working Relationships

• Works directly with patients and/or customers.
• Works with internal customers via telephone or face to face interaction.
• Works with external customers via telephone or face to face interaction.
• Works with other healthcare professionals and staff.
• Works frequently with individuals at Director level or above.

Special Job Dimensions

None.