Claims adjuster job description

Location: Evesham, NJ 08053

Duration: Contract to hire

PRIMARY PURPOSE:

To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

· Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

· Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.

· Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

· Manages subrogation of claims and negotiates settlements.

· Communicates claim action with claimant and client.

· Ensures claim files are properly documented and claims coding is correct.

· May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

· Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

· Performs other duties as assigned.

· Supports the organization's quality program(s).

· Travels as required.

Company DescriptionBC Forward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers’ needs into a full-service personnel solutions organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over years of catering to our customers’ specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs.
www.BCforward.com

Please note that this is an IN-OFFICE position. To ensure our associates receive the training and support needed to excel and thrive, associates hired for this position will be required to work at the GEICO building during their training and orientation period, which is a minimum of 7-9 months.

We're looking for highly-motivated professionals to join CU! As an Examiner, you will expand your technical and procedural knowledge as you learn to handle claims involving complex coverage, high-exposure, and litigation. In this fast-paced environment, you will:

• Conduct investigations to determine coverage and liability for claims involving serious injury

• Evaluate, negotiate, and settle claims for damages

• Maintain a pending diary of claims, which you will work through settlement and resolution

• Provide support to GEICO insureds that have become defendants in lawsuits and guide them through the litigation process

• Travel to attend trials and other litigation process events

To ensure our associates receive the training and support needed to excel and thrive, associates hired for this position are generally required to work at the GEICO building during their orientation period. GEICO follows federal and state guidance and legal requirements regarding measures designed to limit the spread of COVID-19, including masking and social distancing. Measures may vary by GEICO location.

*Benefits may be different by location. Benefit eligibility requirements vary and may include length of service.

**Coverage begins with the pay period after hire date. Must enroll in New Hire Benefits within 30 days of the date of hire for coverage to take effect.

GEICO is proud to be an equal opportunity employer. We are committed to cultivating an environment where equal employment opportunities are available to all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO celebrates diversity and believes it is critical to our success. As such, we are committed to recruit, develop and retain the most talented individuals to join our team.

THE COMPANY: Since 1980, Stevens Transport has remained the primary choice of the Fortune 500 for delivery of perishable items and is the largest family-owned and operated climate-controlled freight company in Texas. Family is a top priority at Stevens and those values are integrated into everything we do, every day. Our award-winning service and reputation paired with state-of-the-art equipment has made us the pioneer of the industry.

Stevens Transport Corporate offices as well as it's many departments and family of companies, reside on a massive 75-acre campus just East of Dallas. As a debt free, multimodal logistics conglomerate, Stevens Transport injects unmatched integrity into a corporate business model that reflects a track record of consistent growth and success. As “America's Trucking Family” and one of the nation's premier employers, we understand that our biggest “assets” are our people that support the continuous growth.

If you are looking to continue with a rewarding career in Transportation & Logistics, come join the over 750 corporate family members with an exciting opportunity waiting for you!!

THE ROLE: With guidance from the VP of Risk Management, the Casualty Claims Adjuster has an adjusting background and is an experienced individual responsible for directly handling complex, high dollar claims on behalf of a large refrigerated truckload carrier. The successful candidate must be willing to handle all levels of claims and interact directly with our drivers, claimants, claims adjusters, other department personnel, and mid-level and senior management.
The position is located in Dallas, Texas.
QUALIFICATIONS:Ability to obtain and maintain adjuster licenses Effective reasoning, analysis and decision-making skills Investigative skills
ESSENTIAL FUNCTIONS:Managing liability issues surrounding commercial motor vehicular accidents with regard to physical losses and bodily injury losses Conducting initial and follow up contact with claimants, insurance companies, attorneys, and other relevant parties Assisting local law enforcement and adjusters on the scene of an incident, to include arranging site inspection, obtaining photos, conducting interviews, etc.Ordering police reports and other records from ISO database and other sources to determine facts and prior accident information Researching details on complex claims and determining the most effective plan of action for a favorable outcome Recording and documenting all information in company systems
REQUIRED QUALIFICATIONS:Advanced knowledge of claims case handling practices, legal liability and general insurance policy coverage Prior experience conducting investigations in multi-party situations
HIGHLY BENEFICIAL QUALIFICATIONS:Experience handling trucking claims
Medical, Vision, Dental, Supplemental, and Life Insurances available + 401(k) retirement plan and quarterly match.

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