Workers’ Compensation Adjuster

About the role

This position is responsible for a variety of professional duties in handling workers’ compensation claims in Georgia for Georgia Power, along with handling claims in Georgia for Southern Company Services, Southern Power, and Southern Communications.

Responsibilities

• Investigating, analyzing, and managing claims
• Determining compensability
• Handling indemnity, medical, financial exposure, and payments
• Completing required state and federal filings
• Working with defense counsel on legal or litigation matters
• Supporting subrogation, excess insurance, Subsequent Injury Trust Fund (SITF), and other claim-related processes

Requirements

• Education: Required: High School Diploma, Desired: Associate Degree, Bachelor's Degree
• Experience: 1–3 years of experience in workers’ compensation, insurance, HR, claims administration, medical claims, or a related field
• Knowledge: Related Work Experience, Ability to learn workers’ compensation claim handling standards, compliance requirements, systems, and processes through on-the-job training

Qualifications

• Knowledge of accepted industry standards and practices
• Ability to learn new processes quickly, take effective notes, follow procedures, and apply training to daily work
• Business Acumen: Problem-solving skills, practical solutions in new, unique, or unfamiliar situations, clear and professional communication, effective collaboration, willingness to learn
• Functional Expertise: Partners with employees, leadership, Medical & Health Services, Safety, medical providers, vendors, and legal counsel to effectively manage and resolve claims
• Litigation: Participates as Company Representative for claims, provides testimony at hearings, depositions, mediations, and other legal proceedings, prepares or supports settlement evaluations, negotiates settlements, coordinates subrogation efforts, communicates with opposing counsel

Skills

• Excellent communication skills
• Effective note-taking and application of training to daily work
• Ability to identify and pursue reimbursement and recovery opportunities
• Strong willingness and ability to learn workers’ compensation concepts, claim handling practices, compliance requirements, and internal processes through on-the-job training
• Ability to balance attention to detail with managing an assigned caseload
• Comprehensive claim documentation, including detailed notes and clear action plans
• Timely calendar management and planning of actions
• Continuous learning mindset and adaptability as processes and business needs evolve
• Responsive to after-hours calls and availability for travel and meetings
• Building and maintaining strong, professional relationships with internal and external stakeholders
• Utilizing automation tools, such as Power Automate, to support and streamline workflows
• Quickly learning and effectively utilizing claim systems and business applications
• Supporting processes related to Panel of Physicians, Medicare Section 111 reporting, third-party discovery requests, and other administrative tasks

Benefits

Please Note: This is a hybrid position with in-office presence expectation at 241 Ralph McGill Blvd, Atlanta, GA. Details about benefits can be found here.

Pay

Details about pay and bonuses can be found here.

Schedule

Full time