[Remote] Workers’ Compensation Claims Adjuster Senior, Indemnity

Note: The job is a remote job and is open to candidates in USA. CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions. They are seeking a Workers’ Compensation Claims Adjuster Senior, Indemnity responsible for analyzing and adjudicating time loss workers’ compensation claims to ensure timely payment of benefits while maintaining compliance with regulatory requirements.

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

Skills

• Arizona workers' compensation claims management experience is required
• 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
• Additional experience in MO, KS, CO, UT, NM, NV and/or TX jurisdictions is preferred
• 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
• 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)
• Bilingual in Spanish preferred

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.
• CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, vision and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement and other education benefits and business casual dress.

Company Overview

• CopperPoint Insurance Companies operates as a premier provider of workers compensation insurance. It was founded in 1925, and is headquartered in Phoenix, Arizona, USA, with a workforce of 501-1000 employees. Its website is https://www.copperpoint.com/.

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