Job Description

Role Description

CopperPoint Insurance Company has an exciting opportunity for a full-time remote Sr. Claims Adjuster, Workers' Compensation. The Sr. Claims Adjuster, Workers' Compensation will investigate, manage, and resolve claims in a timely, unbiased, and informed manner in compliance with policies, state laws, and regulatory performance standards.

• Knowledge of policy documents for coverage verification.
• Provide account servicing support on claim issues to policyholders including travel as required.
• Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements.
• When necessary, attend in-person meetings with injured workers, employers, and medical providers.
• When necessary, assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action.
• Follow up with injured workers, policyholders, and medical providers to monitor progress.
• Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
• Maintain electronic files necessary for documentation of the claim file including coding, contacts, financial data, and plan of action.
• Review reserves for appropriateness and file timely reports on all serious loss claims as required by ANIC policy and regulatory standards.
• Promote the team approach to case and account management.
• Perform other duties as assigned.
• Bilingual in Spanish preferred, pay differential available.

Qualifications

• High school graduate, Bachelor’s degree preferred.
• 5 years or greater of Workers’ Compensation adjusting experience.
• In-depth knowledge of Workers’ Compensation laws.
• Knowledge of medical and legal terminology and procedures.
• General computer skills.
• Excellent written and verbal communication skills.
• Strong interpersonal skills.
• Effective negotiation skills.
• Ability to prioritize workload to meet deadlines.
• Ability to work well in a team environment.

Benefits

• Employees and their families are 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).
• Employees will accrue 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

$85,000.00 - $105,000.00 annually. Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus.

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