What are the responsibilities and job description for the Claims Adjuster - Workers Compensation position at BCforward?
Job Title: Claims Adjuster - Workers Compensation (Remote)
Location: 117 West 5th Street, Bartlesville, OK 74003
Anticipated Start Date: 01/13
Job Type: 2 Months Contract to Hire
Pay Rate: $45.00/hr. (on W2)
Need: 3 plus years of WC claims handling experience in multiple Southeastern states. Only workers compensation experience, no other lines of business considered
Job Description:
Job Title: Workers' Compensation Claims Analyst
Primary Purpose:
To analyze and manage mid- and higher-level workers' compensation claims, ensuring compliance with company standards and industry best practices. The role involves determining benefits due, adjudicating claims, identifying subrogation opportunities, and negotiating settlements to achieve optimal claim resolutions.
Key Responsibilities:
Claims Management:
- Assess workers' compensation claims for compensability and benefits eligibility, focusing on long-term indemnity claims.
- Monitor and adjust claim reserves to maintain accuracy, filing necessary documentation with state agencies.
- Develop and execute action plans to resolve claims efficiently, including coordination of return-to-work efforts and processing claim payments.
- Identify subrogation opportunities and negotiate settlements to maximize recoveries.
- Ensure proper documentation of claim files and accuracy in claims coding.
- Process complex claims such as lifetime medical or defined-period medical claims, including state filings and utilization review for recommended treatments.
- Communicate claim actions with claimants and clients professionally and effectively.
- Maintain strong client relationships and provide superior customer service.
- Support organizational quality programs and initiatives.
- Perform additional duties as assigned.
Qualifications:
Education:
- Bachelor's degree from an accredited college or university preferred.
- High school diploma or GED required.
- Minimum of 3 years of workers' compensation claims handling experience across multiple Southeastern states required.
- Only workers' compensation experience will be considered; other lines of business are not applicable.
- Strong knowledge of workers' compensation regulations, disability durations, medical management practices, and applicable Social Security/Medicare procedures.
- Proficiency with Microsoft Office and other PC applications.
- Excellent oral and written communication skills, including presentation abilities.
- Strong analytical, organizational, and negotiation skills.
- Ability to work collaboratively in a team-oriented environment.
- Capability to meet or exceed service expectations consistently.
Work Environment:
- Mental Requirements: Ability to think clearly, troubleshoot, analyze, and manage multiple priorities under deadlines.
- Physical Requirements: Computer usage and occasional travel as needed.
- Auditory/Visual Requirements: Clear vision, hearing, and effective communication skills.
- A background credit check is required for this position.
- This position may transition from temporary to permanent, depending on performance and business needs.
Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
Interested candidates please send resume in Word format Please reference job code 233846 when responding to this ad.
Salary : $45
