5 дней назад
New Mexico Workers' Compensation Adjuster (Remote in NM)
85 000 - 92 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
New Mexico Workers' Compensation Adjuster (Remote in NM) (Workers' Compensation Claims): Investigating and evaluating workers' compensation losses, determining coverage and compensability, and developing resolution plans with an accent on complex claims, litigation, medical records, and settlement negotiations. Focus on managing catastrophic losses, multi-party investigations, CMS/Section 111 reporting, and litigation costs.
Location: Fully remote, but candidates must live in New Mexico and hold a New Mexico adjuster license.
Salary: $85,000–$92,000 per year
Company
is a professional services and technology firm supporting insurance and other highly regulated businesses with risk management, claims, underwriting, regulatory, and transformation services.
What you will do
- Investigate workers' compensation claims, interview employees, employers, and witnesses, and obtain medical, police, hospital, and physician records.
- Determine insurance coverage, compensability, and appropriate action plans for timely claim resolution.
- Prepare accurate investigation reports and recommendations for clients and carriers.
- Negotiate settlements with claimants and their attorneys while managing litigation activities and costs.
- Complete EDI and CMS/Section 111 reporting and coordinate with preferred vendors.
- Handle catastrophic losses, complex litigation, sensitive issues, licensing requirements, and knowledge-sharing with colleagues.
Requirements
- Must live in New Mexico and hold a New Mexico adjuster license.
- 5–7 years of experience handling workers' compensation claims.
- Thorough knowledge of claims investigation, adjustment principles, and related practices.
- Extensive knowledge of medical and legal terminology, legal principles, and litigation management.
- Ability to conduct multi-party investigations, prepare factual reports, meet deadlines, and handle confidential information.
- Ability to understand multi-state laws and regulations and use relevant software applications.
Culture & Benefits
- Fully remote work arrangement within New Mexico.
- Medical, dental, and vision insurance plans.
- 401(k) plan with employer matching.
- Paid time off, paid holidays, and applicable sick, family, and parental leave.
- Life insurance and short- and long-term disability coverage.
- Diverse and inclusive workplace with opportunities for training and professional development.
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