Job Description
About the Opportunity
Our client, a well-established Third Party Administrator (TPA), is seeking an experienced Workers' Compensation Claims Adjuster to join their team on a temporary contract basis. This is an excellent opportunity for an adjuster who thrives in a fast-paced environment and enjoys managing claims from inception through resolution while delivering exceptional customer service.
Although this position is fully remote, candidates must currently reside in Montana.
What's in it for you:
- $35/hr. - $45/hr. based on experience
- Full benefits available
Key Responsibilities:
- Manage a full caseload of Workers' Compensation claims from assignment through closure.
- Conduct thorough investigations to determine compensability and liability.
- Analyze medical documentation and coordinate with medical providers, employers, injured workers, and legal counsel.
- Establish appropriate reserves and adjust reserves throughout the life of the claim.
- Authorize and monitor medical treatment and indemnity benefits in accordance with Montana Workers' Compensation statutes.
- Negotiate settlements when appropriate and prepare files for closure.
- Maintain accurate and timely claim documentation within the claims management system.
- Ensure compliance with all state regulations, client service standards, and internal best practices.
- Provide regular claim status updates to clients and management.
Qualifications:
- 3+ years of Montana Workers' Compensation claims handling experience.
- Active Montana Workers' Compensation Adjuster licensing.
- Previous experience working for a TPA or insurance carrier.
- Strong knowledge of Workers' Compensation laws, coverage analysis, and claims investigation.
- Excellent negotiation, communication, and organizational skills.
- Ability to independently manage a high-volume caseload.
- Proficiency with electronic claims management systems and Microsoft Office.
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