North American Risk Services (NARS) ยท 1 day ago
Senior Workers Comp Claims Adjuster- Must live in Oregon State
United States
Full-time
Remote
Senior Level
$78K/yr - $95K/yrNorth American Risk Services (NARS) is seeking a Senior Workers Comp Claims Adjuster who must reside in Oregon. The role involves managing a caseload of claims, conducting investigations, and ensuring compliance with state statutes and client guidelines while providing excellent customer service.
Financial ServicesInsurance
Hiring Manager
TERRI WILLIAMS
Responsibilities
Handle a caseload commensurate with the complexity level of claims assigned
Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud, vendor management, reserve analysis, and report completion
Ability to attend conferences, client meetings, mentor other adjusters and assist management as needed
Ensure compliance with state statutes, client guidelines and NARS Best Practices
Address claim metrics in a timely and appropriate manner
Perform other miscellaneous duties as assigned, which may include travel
Identify, analyze, and confirm coverage
Make contact first within parties and clients within eight (8) business hours
Communicate with parties and providers to determine liability, compensability, negligence, and subrogation potential
Obtain necessary information and explain benefits as appropriate
Maintain regular contact throughout the life of the claim process
Answer phones, check voice mail regularly, and return calls as needed
Assist with training/mentoring of Claims Adjusters
Assist management when required with projects or leadership as requested
Support management and handle various duties/responsibilities of the Assistant Unit Manager/Unit Manager as delegated in their absence
Refer all files identified with subrogation potential to the subrogation department
Maintain closing ratio as dictated by management team
Close all files as appropriate in a timely and complete manner
Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate
Qualification
Required
Must live in the state of Oregon
Handle a caseload commensurate with the complexity level of claims assigned
Establishing facts of loss
Coverage analysis
Investigation
Compensability/liability/negligence determination
Coordination of medical care (as appropriate)
Litigation management
Damage assessment
Settlement negotiations
Identifying potential fraud
Vendor management
Reserve analysis
Report completion
Ability to attend conferences, client meetings, mentor other adjusters and assist management as needed
Ensure compliance with state statutes, client guidelines and NARS Best Practices
Address claim metrics in a timely and appropriate manner
Perform other miscellaneous duties as assigned, which may include travel
Identify, analyze, and confirm coverage
Make contact first within parties and clients within eight (8) business hours
Communicate with parties and providers to determine liability, compensability, negligence, and subrogation potential
Obtain necessary information and explain benefits as appropriate
Maintain regular contact throughout the life of the claim process
Answer phones, check voice mail regularly, and return calls as needed
Assist with training/mentoring of Claims Adjusters
Assist management when required with projects or leadership as requested
Support management and handle various duties/responsibilities of the Assistant Unit Manager/Unit Manager as delegated in their absence
Refer all files identified with subrogation potential to the subrogation department
Maintain closing ratio as dictated by management team
Close all files as appropriate in a timely and complete manner
Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate
Company
North American Risk Services (NARS)
North American Risk Services, Inc.
Founded in 1996
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Andrew Charrette
Chief Financial Officer
John McCully
Sr. Vice President/Chief Client Officer
Recent News
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2024-02-19
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2024-02-19
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