Sr. Adjuster-Workers Comp Claims at CopperPoint Mutual Insurance Company

, Washington, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Aug, 26

Salary

120000.0

Posted On

29 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers Compensation Claims Management, Indemnity Claims Analysis, Alaska Jurisdiction Knowledge, Claims Adjudication, Settlement Negotiation, Reserve Management, Regulatory Compliance, Cost Containment, Dispute Resolution, Customer Service, Technical Claims Knowledge, NCCI Reporting, Medicare Reporting

Industry

Insurance

Description

Alaska National, a CopperPoint company, has an exciting opportunity for a fully remote Workers’ Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess Alaska jurisdiction technical claims knowledge. Additional experience in ID, USHL&H and WARP claims is preferred. The Workers’ Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers’ compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements, as well as establishing and maintaining action plans and reserves to ensure proactive, cost-effective claims management. Job responsibilities: * Analyze and investigate indemnity claims to determine compensability decisions by interpreting and applying laws, rules, and regulations of workers’ compensation. * Utilize all available resources as appropriate. * Build and maintain professional relationships with injured workers, policy holders, brokers and agents through proactive claim management and timely communications. * Appropriately document communications and claim management activities. * Develop, maintain and adhere to action plans and reserves on indemnity claims while proactively managing claims to resolution. * Establish and maintain cost drivers and data elements to ensure accurate NCCI and Medicare reporting. * Proactively manage claims in accordance with company standards and statutory requirements. * Ensure timely payment of indemnity and medical benefits. * Actively utilize all available cost containment measures and programs. * Identify settlement opportunities. * Negotiate settlements with claimants and attorneys. Conducts dispute resolution with claimants and attorneys. * Testify at hearings when necessary. Qualifications/Competencies: * Bachelor's degree (B. S. or B.A.) in business administration, communications, or a related field from an accredited four-year college or university is preferred. * This is not an entry level position, all candidates must have at least 3 years prior experience handling/adjusting workers’ compensation claims. * Alaska workers’ compensation claims management experience is required. * Experience/licensure in one or more of the other states in our region is highly preferred (ID, USHL&H, WARP) * Excellent customer service skills to include initiative, mature judgement and discretion. * Strong technical workers’ compensation knowledge with prior successful experience in a workers' compensation as well as other commercial lines claims management environment. * Knowledge of Department of Insurance (DOI), NCCI, Department of Labor and Employment (CDLE) rules and regulations. * Ability to analyze, interpret and apply laws, rules and regulations pertaining to workers’ compensation. * Ability to stay current with changes to statutory, industry rules and regulations as well as company policies and procedures which may impact claims management. * Ability to set priorities, manage time, organize work and meet deadlines. Benefits: * Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. * We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). * Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year. Salary Range: * $65,000.00-$120,000.00 annually * Compensation may vary depending on skills, experience, education, and geographical location. * In addition to base salary, compensation may include an annual discretionary bonus. Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers’ compensation and commercial insurance solutions. With an expanded Line of insurance products and a growing ten-state footprint in the western United States, CopperPoint embodies stability for policyholders in Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington. CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, Alaska National Insurance Company, and other CopperPoint Insurance Entities. CopperPoint’s culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships, and in-kind contributions. We empower employees by providing 12 hours of paid volunteer time annually and matching their personal contributions to the charities of their choice up to $500 per year. In 2020, CopperPoint employees reported 3,500 volunteer hours. CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits and business casual dress. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status, or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace. #LI-Remote

Responsibilities

Analyze and investigate time loss workers' compensation claims to determine compensability and ensure timely payment of benefits. Manage claims proactively by establishing action plans, maintaining reserves, and negotiating settlements with claimants and attorneys.