Sr. Adjuster-Workers Comp Claims

About the role

CopperPoint 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.
• Conduct dispute resolution with claimants and attorneys.
• Testify at hearings when necessary.

Requirements

• 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.
• At least 3 years of prior experience handling/adjusting workers’ compensation claims.
• Arizona workers’ compensation claims management experience is required.
• Experience/licensure in one or more of the following states is highly preferred: MO, CO, UT, KS, NM, NV, OK, and/or TX.
• Excellent customer service skills, including initiative, mature judgment, and discretion.
• Bilingual in Spanish preferred.
• Strong technical workers’ compensation knowledge with prior successful experience in workers' compensation as well as other commercial lines claims management environments.
• 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

• Medical, dental, and vision insurance.
• Short-term disability, long-term disability, and life insurance.
• Health savings account (HSA) and flexible spending account (FSA).
• 401(k) plan with company matching contributions.
• Basic Life Insurance and AD&D at two times the employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistance Plan provided at no cost to the employee.
• Paid Time Off (PTO) accrual of 0.0769 hours per paid hour (up to 20 days per year).
• 10 paid holidays throughout the calendar year.
• 12 hours of paid volunteer time annually, with corporate matching of personal charitable contributions up to $500 per year.
• Tuition reimbursement and other education benefits.

Pay

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.