Sr. Adjuster-Workers Comp Claims

About the role

CopperPoint Insurance Companies has an exciting opportunity for a fully remote Workers’ Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess Arizona jurisdiction technical claims knowledge. Additional experience in MO, KS, CO, UT, NM, NV and/or TX jurisdictions is preferred.

Responsibilities

• Analyze and investigate indemnity claims to determine compensability decisions by interpreting and applying laws, rules, and regulations of workers’ compensation.
• Utilize all available resources as appropriate.
• Build and maintain professional relationships with injured workers, policy holders, brokers and agents through proactive claim management and timely communications.
• Appropriately document communications and claim management activities.
• Develop, maintain and adhere to action plans and reserves on indemnity claims while proactively managing claims to resolution.
• Establish and maintain cost drivers and data elements to ensure accurate NCCI and Medicare reporting.
• Proactively manage claims in accordance with company standards and statutory requirements.
• Ensure timely payment of indemnity and medical benefits.
• Actively utilize all available cost containment measures and programs.
• Identify settlement opportunities.
• Negotiate settlements with claimants and attorneys.
• Conducts dispute resolution with claimants and attorneys.
• Testify at hearings when necessary.

Qualifications/Competencies

• Bachelor's degree (B. S. or B.A.) in business administration, communications, or a related field from an accredited four-year college or university is preferred.
• This is not an entry level position, all candidates must have at least 3 years prior experience handling/adjusting workers’ compensation claims.
• Arizona workers’ compensation claims management experience is required.
• Experience/licensure in one or more of the other states in our region is highly preferred (MO, CO, UT, KS, NM, NV, OK and/or TX).
• Excellent customer service skills to include initiative, mature judgement and discretion.
• Bilingual in Spanish preferred.
• Strong technical workers’ compensation knowledge with prior successful experience in a workers' compensation as well as other commercial lines claims management environment.
• Knowledge of Department of Insurance (DOI), NCCI, Department of Labor and Employment (CDLE) rules and regulations.
• Ability to analyze, interpret and apply laws, rules and regulations pertaining to workers’ compensation.
• Ability to stay current with changes to statutory, industry rules and regulations as well as company policies and procedures which may impact claims management.
• Ability to set priorities, manage time, organize work and meet deadlines.

Benefits

• Eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan.
• We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
• Accrues 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year.
• Salary Range: $68,000.00 - $98,500.00 annually.
• Compensation may vary depending on skills, experience, education, and geographical location.
• In addition to base salary, compensation may include an annual discretionary bonus.

Pay

$68,000.00 - $98,500.00 annually

Schedule

Fully remote