Workers Compensation Claims Adjuster
Current● Administer over 200 workers’ compensation claims on behalf of client from initial reporting to final resolution, by implementing actions plans to resolve claims, coordinating return-to-work efforts, negotiating settlements. ● Collaborate with legal counsel and risk management on complex claims valued over $50k, to resolve disputes, prepare cases, review depositions, assist in discovery, and minimize litigation risk.● Conduct thorough investigations by interviewing claimants, employers, witnesses, and medical professionals, as well as reviewing medical records and documentation to assess the legitimacy of claims.● Analyze claims data to determine maximum reserve exposure of each claim, identifying potential fraud, monitoring medical treatment, ensuring compliance with client expectations and state regulations.● Calculate compensation benefits, including temporary or permanent disability payments, based on injury severity, wage statements, employment history, and medical reports.