Medical Only Occupational Accident Claims Adjuster/Work Comp Paralegal/Legal Assistant

Job Description: • Investigate and adjust occupational accident claims in accordance with established claims handling procedures using Blue Star guidelines and supervision • Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing occupational accident claims • Authorize and make payment of occupational accident claims utilizing our claim processing protocol in accordance with policy language and within authority levels • Process medically necessary and related bills according to Policy provisions • Make supported and educated claim decisions timely • Forecast potential exposure for reserving claims • Have continued contact with policyholders • Negotiate settlements, if appropriate pursuant to the terms of the policy and within authority levels • Deliver quality claim service to clients and be responsive to client needs • Familiarize yourself with jurisdiction challenges you may face and be mindful of potential exposure • Manage your time efficiently and utilize your attention to detail to every claim you work on • Use established forms and modify letters pursuant to Policy provisions • Review and document medical records outlining treatment plan, restrictions and plan of action • Able to identify mechanism of injury vs symptoms vs non-related conditions • Manage claim to optimal resolution; paying for what we owe with relation to the policies we administer • Establish valuable relationships with our Insureds / Motor Carriers / Brokers / Providers / Preferred Vendors • Work as a team player • Be flexible, use initiative and work with minimum of direct supervision • Use discretion and confidentiality required • Clearly communicate verbally and/or in writing both internally and externally • Be organized, a self-starter and prioritize your duties with attention to detail • Perform other duties as assigned Requirements: • Highschool diploma or equivalent • At least two years of experience in some manner of medical type claims, claims adjusting, paralegal or legal assistant. • Microsoft Office experience • Completion of our pre-employment assessment via the link below. Benefits: • Competitive salary and potential performance-based bonuses • Medical, dental, and vision insurance • 401(k) with company match • Paid time off and holidays • Professional development opportunities