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Workers' Compensation Claims Adjuster jobs in United States
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Alaska Public Risk Alliance (APRA) · 2 days ago

Workers' Compensation Claims Adjuster

Alaska Public Risk Alliance (APRA) is a Joint Insurance Arrangement providing risk management services to public entities in Alaska. They are seeking a dedicated Workers’ Compensation Claims Adjuster to manage and resolve assigned workers’ compensation claims effectively and ensure timely communication with all stakeholders involved.
Insurance

Responsibilities

Independently manage assigned claims. Depending on the adjuster’s level of expertise, assigned claims may include medical only, time loss, or litigated claims
Maintain contact with member employers and injured workers throughout the life of a claim
Develop and implement vocational rehabilitation plans with oversight
Seek assistance from attorneys when needed and attend settlement conferences and hearings
Maintain records, files, and databases of claims, and prepare summary reports
Provide APRA members and their employees with information regarding workers’ compensation benefits
Identify and investigate irregularities in claims and report subrogation claims
Provide notices of qualifying claims to excess/reinsurance carriers
Assist with the preparation of annual reports as required by the Division of Workers’ Compensation

Qualification

Workers' Compensation Claims AdjustingAlaska statutesMedical billing experienceClaims management systemsMS WordExcelOutlookGrammatical skillsCommunication skillsCritical thinking skillsConfidentiality compliance

Required

Strong communication skills and the ability to maintain professionalism and tact when interacting with injured workers, APRA members, medical providers, attorneys, and other professionals
Previous experience working as a WC Claims Adjuster or another position with responsibility for medical billing or insurance
Strong communication and grammatical skills, with the ability to read, speak, and write in English
Strong critical thinking and analytical skills
Proficiency in MS Word, Excel, and Outlook
Ability to learn to use APRA's claims management information systems
Ability to understand and comply with confidentiality laws and general practices
Currently possess or the ability to obtain an AK adjuster license within 3 months of the date of hire

Preferred

Previous experience as a Workers' Compensation Claims Adjuster
Knowledge of Alaska's Workers' Compensation statutes and regulations, claims adjusting procedures, EDI and CMS reporting, Department of Labor reporting requirements, and medical and legal terminology

Benefits

Paid time off
Holidays
Health/dental/vision insurance
A 401(a)/457 retirement plan
Life/disability coverage

Company

Alaska Public Risk Alliance (APRA)

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Funding

Current Stage
Early Stage
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