WORKERS’ COMPENSATION CLAIMS ADJUSTER - REMOTE OR IN OFFICE

Midwestern Insurance Alliance (MIA) is seeking a full-time Claims Adjuster to join its workers’ compensation claims processing team at its headquarters in Louisville, KY.
MIA is a program administrator offering custom-tailored workers’ compensation insurance programs through its carrier partners. MIA’s acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels.

Claims Adjuster responsibilities include, but are not limited to:

• Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
• Determining if claims are valid under applicable workers’ comp statutes.
• Communicating with medical providers to develop and authorize appropriate treatment plans.
• Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
• Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
• Assisting in estimating appropriate reserves for each claim.

• Providing information as needed for litigation or settlement negotiations.

  The ideal Claims Adjuster will have:

• Some post-high school education.

• At least 4 years’ experience as a workers’ comp claims adjuster.
• Experience handling claims in PA, IN, or IL is strongly preferred (but not required)
• Strong verbal and written communication skills.
• Strong organizational skills with attention to details.
• Ability to work with little supervision.
• Ability to manage multiple tasks in a fast-paced environment.
• Proficiency in MS Word, Excel, and Outlook.

MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and an 8:00-5:00 Monday-Friday work week.

• Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
• Determining if claims are valid under applicable workers’ comp statutes.
• Communicating with medical providers to develop and authorize appropriate treatment plans.
• Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
• Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
• Assisting in estimating appropriate reserves for each claim.
• Providing information as needed for litigation or settlement negotiations