Workers Compensation Adjuster

Job not on LinkedIn

🔥 18 minutes ago

🏄 California, Connecticut, +4 more states – Remote

🏄 California – Remote 🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote

💵 $85k - $95k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Intercare Holdings Insurance Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

🛡️ Insurance

Insurance • Risk Management

Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.

📋 Description

• Receive newly reported claims • Determine coverage under the State Workers’ Compensation Act and exposure to LHWCA • Maintain and update claim notes throughout the claim lifecycle • Record claim information in an electronic database • Interview claimants, insureds, medical professionals, and witnesses to determine claim validity • Communicate claim compensability decisions to claimants, employers, and medical providers • Set appropriate reserves based on the nature and extent of injuries • Calculate lost-time wages and make disability payments to claimants • Report mandatory claims data to state entities within required timeframes • Order independent medical examinations and prepare documentation for physician review • Maintain correspondence with claimants, insureds, clients, and nurse case managers • Review and process medical bills for additional discount opportunities • Collaborate with claimants, clients, and insureds to pursue early return-to-work outcomes • Partner with legal counsel on litigated claims and provide documentation for defense • Attend settlement conferences, mediations, and hearings on behalf of the insurance company • Review and approve defense attorney bills within authority • Work with underwriting on loss information for renewal rates and with Risk Management to identify trends • Respond to state requests for health cost disputes, hearing applications, and penalty assessment letters • Identify subrogation potential and pursue recovery • Lead claim reviews with clients as requested

🎯 Requirements

• 5+ years experience handling CT, DE, MD, CA, NJ, PA, RI Workers Compensation claims • Multi-state Adjuster license • Experience in, and hold a current adjusters license to handle WC claims in CT, DE, MD, CA, NJ, PA, RI - preferred • High School education • Proficiency in entire Microsoft Office suite • Knowledge of relevant workers’ compensation laws • Strong grasp of medical terminology • Familiarity with medical cases and how treatment typically progresses • Excellent professional oral and written communication abilities • Attention to detail and good organization skills • Ability to negotiate issues and settlements • Strong focus on customer service, including timely response to requests/inquiries • Ability to adapt to changing technologies and learn new equipment and systems • Ability to establish and maintain effective working relationships with others

🏖️ Benefits

• Comprehensive medical, dental, and vision benefits • Company contributions to HSA and FSA plans • Employer-paid life and disability insurance • 401(k) with company match • Paid time off (PTO) and company-paid holidays • Employee assistance resources • Supportive culture that values balance and wellbeing • Full benefits package