[Remote] Claims Adjuster I | Southern States

Note: The job is a remote job and is open to candidates in USA. EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services. They are seeking a Claims Adjuster I responsible for managing workers’ compensation claims with low to moderate medical and indemnity benefit exposure, ensuring timely and accurate claim processing while providing excellent customer service. Responsibilities Receives and reviews new claims involving low to moderate medical, indemnity and occasional legal exposure. Caseload may include complex Medical Only claims Completes initial contacts to obtain necessary information, verify coverage, determine compensability and develop a plan of action. Completes and maintains accurate claim system data Analyzes case facts to establish timely reserves using and building knowledge of medical-related costs and judgment about extent of disability Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers Accurately evaluates and pays benefits in compliance with statutory and company guidelines. Files appropriate state forms, as needed Proactively coordinates or monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure Working with supervisor, reviews and analyzes some legal issues. In collaboration with defense attorneys, proactively handles and mitigates exposure to litigation and prices up claims for minor settlements Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure Skills 1 to 2 years of workers' compensation claims experience Knowledge of workers' compensation laws, regulations and statutes Excellent communication and customer service skills and knowledge of an imaged environment Self-motivated with excellent analytical, problem solving and decision-making skills Strong ability to multi-task and prioritize Must meet certification within state-mandated timeframe and maintain any required license through continuing education Experience in FL, TN, MS, KY, AL, AR WCCP, AIC, ARM, CPCU or other insurance certification preferred Bachelor's degree or the above experience preferred Benefits Comprehensive benefits package Company Overview Employers is a provider of workers' compensation insurance for small businesses. It was founded in 1913, and is headquartered in Reno, Nevada, USA, with a workforce of 501-1000 employees. Its website is