Lost Time Claims Adjuster – Workers' Compensation

🔥 1 minute ago

🦌 Connecticut, Florida, +21 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $55.1k - $110.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Encova Insurance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💸 Finance

👥 B2C

Insurance • Finance • B2C

Encova Insurance is an insurance company dedicated to providing comprehensive insurance solutions for both personal and commercial needs. With decades of experience in the industry, Encova Insurance offers a wide range of products including home, auto, and workers' compensation insurance, while specializing in tailored commercial packages for complex businesses. They prioritize innovation and customer service, ensuring policyholders receive the support and coverage necessary for long-term success.

📋 Description

• Manage lost time and medical only Workers' Compensation claims. • Evaluates and establishes an action plan to manage medical and indemnity benefits associated with injury and occupational disease claims. • Decides the outcome of the claim using sound judgment by applying established policy, procedures, regulations and guidelines. • Gathers facts by conducting interviews with all involved parties and considers all the elements of the claim prior to issuing a decision. • Determines eligibility of indemnity and medical benefits once salary information and medical treatment plans have been secured and processed. • Utilize proactive reserving behaviors to ensure adequate case reserves. • Consults with assigned claim director, return to work specialists, nurse case managers, and internal/external medical professionals. • Works collaboratively with the injured worker, employer, outside counsel, and health and rehabilitation professionals to manage the claims costs.

🎯 Requirements

• Bachelor’s Degree from an accredited college or university is preferred. • Three years of experience in the field of workers’ compensation insurance required. • Ability to manage claims through the litigation process. • One valid workers’ compensation adjuster license is strongly preferred. • Preference may be shown to candidates with multiple state claims management experience. • Experience in workers’ compensation claims practices and laws, court procedures, precedents and state statutes. • Ability to use logic and sound reasoning to identify alternative solutions for problem-solving. • Strong written and verbal communication skills. • Strong analytical skills. • Ability to multitask and manage time effectively and productively.

🏖️ Benefits

• Health, Dental & Vision Insurance • Company-provided life and income protection plans • Eligibility to participate in a company incentive bonus program • 401(k) Retirement Plan - 100% company match up to 7% on annual salary • Paid Time Off, Paid Holidays, and Floating Holidays • Flexible Work Arrangements - Hybrid and remote depending on the role