Claims Adjuster or Sr. Claims Adjuster at Chesapeake Employers' Insurance Company

Towson, Maryland, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Jun, 26

Salary

0.0

Posted On

10 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Investigation, Evaluation, Negotiation, Settlement, Workers' Compensation Law, Coverage Determination, Reserving, Documentation, Hearing Preparation, Customer Service, Caseload Management, Average Weekly Wage Calculation, Disability Rating Calculation, Medicare Set-Asides, Professional Development, Teamwork

Industry

Insurance

Description

Who We Are Chesapeake Employers’ Insurance Company is a purpose-driven organization dedicated to improving the lives and livelihoods of our policyholders, injured workers, team members, and the community. As a leading workers' compensation specialty insurer in the mid-Atlantic region, we take pride in being a force for good. Our 350 team members are committed to making a positive impact every day in the lives of all our stakeholders. Join our motivated, professional team as we foster a culture of values, teamwork, innovation, and collaboration. Established in 1914, Chesapeake Employers Insurance, headquartered in Towson, Maryland, has over a century of experience, a strong financial foundation, and an "A" rating from AM Best. POSITION SUMMARY Independently investigate, evaluate, negotiate, settle, and adjust claims in accordance with Maryland Workers’ Compensation Law and internal guidelines. DUTIES AND RESPONSIBILITIES • Independently investigates assigned claims, following sound claims handling techniques in accordance with company claim philosophy and quality assurance standards, and in accordance with Maryland Compensation Law. • With limited assistance from unit supervisor, reviews all relevant data, evaluates claims, determines coverage and compensability, sets reserves, and negotiates settlements within settlement authority. • Documents files with necessary reports, investigative notes, and other data as may be required by Maryland Workers’ Compensation Law, the company, and the unit supervisor. Advises supervisor on the status of problematic claims. • Prepares files for hearings, develops defenses for issues, identifies witnesses, and makes decisions regarding appeals. • Attends hearings, mediations, settlement conferences, pre-trial hearings, and fraud trials. • Provides superior customer service to all internal and external stakeholders and the claims public. Complies with standards for service and prompt contact. Keeps agents and policyholders informed of claim status as appropriate. Anticipates and promptly responds to all issues and concerns. • Manages personal caseload effectively in accordance with claims standards and guidelines and demonstrates the ability to learn, develop, and manage complex cases. • Demonstrates effective understanding of workers’ compensation claim handling, including evaluation and calculation of average weekly wage, disability ratings, and reserves. • Demonstrates an understanding of the impact of Medicare on workers’ compensation claims, including Medicare Set-Asides and conditional payments. • Performs other duties as assigned. • Pursues continued education and professional development of industry knowledge. • Contributes to the achievement of established department goals and objectives; adheres to departmental policies, procedures, quality, and safety standards; and consistently exhibits Chesapeake’s Values and Behaviors. SKILLS, EDUCATION AND EXPERIENCE • Bachelor’s degree and 2–4 years of industry-related experience, or 5–8 years of equivalent work experience including 3 years of workers’ compensation claims adjusting. • Attainment of AIC certification or comparable certification in insurance. • Knowledge of claims basics including administrative procedures and processes, law, reserving, investigation, calculation of benefits, case management, fraud, and subrogation. • Must be a detail-oriented, flexible self-starter with excellent written and verbal communication skills, capable of handling multiple tasks in a challenging environment. • Bilingual skills strongly preferred. POSITIONAL COMPETENCIES • Bias for Action • Deliver Results • Personal Leadership • Knowledge Sharing • Service and Sales Excellence • Teamwork and Communication PHYSICAL DEMANDS While performing the duties of this job, the teammate is regularly required to sit, use hands and fingers, handle or feel objects, tools, or controls; and reach with hands and arms. The teammate is occasionally required to stand, walk, stoop, kneel, crouch, or crawl. The teammate may occasionally lift up to 30 pounds. Specific vision abilities are required, which include close vision, peripheral vision, and the ability to adjust focus. WORK ENVIRONMENT Office environment. The noise level is usually moderate. SALARY Claims Adjuster - $64,605 - $96,907 (per year, depending on experience. Exempt.) Sr. Claims Adjuster - $69,780 - $104,670 (per year, depending on experience. Exempt) What We Offer We offer a competitive benefits package that includes health, vision, and dental coverage, a robust PTO plan, an 8% employer contribution to retirement regardless of team member contribution, educational assistance, and opportunities to participate in team member appreciation events. Additionally, we provide STD, LTD and group life insurance 1X a team members salary. You'll also enjoy free tickets to community attractions, all part of our commitment to providing a high quality of work life. You will have the flexibility to thrive in a hybrid work environment and an opportunity to participate in development and volunteer programs.

Responsibilities

The role involves independently investigating, evaluating, negotiating, settling, and adjusting claims in compliance with Maryland Workers’ Compensation Law and internal guidelines. Responsibilities include managing assigned caseloads, preparing files for hearings, and providing superior customer service to all stakeholders.