Field investigator vs workers' compensation claims adjuster

Differences between field investigator and workers' compensation claims adjuster duties and responsibilities

Field investigator example responsibilities.

• Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
• Conduct SIU investigations and activity checks/interviews.
• Complete advanced SIU training in arson investigation, forensics, interrogation and statistical analysis.
• Investigate and open cases on customers and non-customers who have potentially engage in activity which goes against federally mandate BSA/AML regulations.
• Work with lawyers, insurance investigators, medical providers, Medicaid clients, and co-workers to resolve issues.
• Complete additional training and implementation of health insurance billing, both commercial and government (Medicare and Medicaid).
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Workers' compensation claims adjuster example responsibilities.

• Manage OSHA logs and insure ongoing awareness for warehouse safety and risk management guidelines
• Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
• Adjust complex workers' compensation claims, which include litigation management, vocational rehabilitation, medical management, and reserving practices.
• Coordinate all medical and vocational rehabilitation services.
• Coordinate all provide medical and vocational rehabilitation services to the catastrophically injure worker.
• Prepare claims for hearing process order DWC.
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