Grace Federal Solutions LLC

Senior Workers COMP Claims Specialist DH5693

Durham, NC - Full Time

Requirements

  • A Valid North Carolina Claims Adjuster license
  • At least 1 – 3 years of experience in insurance safety related position such as a worker’s compensation claims adjuster, commercial casualty claims adjuster, safety officer, insurance investigator.

Start date: Immediately

Schedule: M – F 8am – 5pm

Salary: DOE

Job Description

  • Coordinate and administer a variety of activities associated with determining validity, assessing liability and risks, and negotiating monetary settlements for claims related to workers' compensation cases involving occupational illness or injury (including lost time and medical only claims).
  • Investigate claims through direct contact with employees, supervisors and other witnesses.
  • Explain process to claimant; collect data from healthcare visits.
  • Determine if case is compensable; interact with various external persons such as insurance adjusters, attorneys, physicians and other parties to coordinate the mediation, settlement and processing of claims; document findings.
  • Establish and adjust claims reserves as required to comply with appropriate regulations.
  • Negotiate settlement for cases falling within established guidelines; make recommendations on cases not settled through negotiation; assist the legal counsel in the preparation of materials and evidence for use in North Carolina Commission hearings.
  • Compile information regarding incidents and related medical expenses, and prepare ongoing reports as required by state law and established departmental procedures.
  • Submit reports to the North Carolina Industrial Commission by designated deadlines.
  • Coordinate with nurse case manager and vocational rehabilitation professionals, as appropriate, to assist employees in the return to work.
  • Participate in internal and external conferences or other groups to keep abreast of current developments in safety techniques, methods and programs and the North Carolina Industrial Commission and Compensation Act.

 

Apply: Senior Workers COMP Claims Specialist DH5693
* Required fields
First name*
Last name*
Email address*
Location
Phone number*
Resume*

Attach resume as .pdf, .doc, .docx, .odt, or .rtf (limit 5MB) or paste resume

Paste your resume here or attach resume file

Cover Letter*
In 150 characters or fewer, tell us what makes you unique. Try to be creative and say something that will catch our eye!*
Are you currently licensed as a Claims Adjuster in the State of North Carolina?*
How many years of experience do you have with Workers Comp claims?*
When can you start?*
Human Check*