General Dynamics - Bath Iron Works · 4 weeks ago
Adjuster II / III, Workers' Compensation
Bath, ME
Full-time
Onsite
Mid, Senior Level
2+ years expGeneral Dynamics - Bath Iron Works is seeking an Adjuster II / III to provide Workers' Compensation claims adjusting in support of their self-insured program. The role involves managing a book of claims, ensuring compliance with safety and regulatory standards, and collaborating with various departments to facilitate the claims process.
ElectronicsIndustrialManufacturing
Responsibilities
Identify and report out any and all opportunities for prevention or mitigation of injuries during the review of claims and related data & reports
Participate in the analysis of compliance reports and provide feedback as required
Assist in the process of internal and external financial and claim audits as required
Provide assistance and back-up for internal and external reporting, including quarterly CMS (Centers for Medicare & Medicaid Services) reconciliation reports
Evaluate claim exposure, establish case reserves, negotiate and resolve claims. Work closely with defense counsel on litigated claims to develop litigation plan. Attend mediation and hearings as necessary
Review for reasonableness and approval of medical invoices in accordance with treatment plans
Keep up to date on State and Federal laws as well as Medicare reporting requirements
Assist and educate employees and supervisors/managers on respective roles and responsibilities in managing WC claims
Work closely with Medical Dept., Operations, Human Resources, Labor Relations, and other functional areas to promote early return to work
Other administrative duties as assigned by the Director of Risk Management
Regular participation in process improvement and/or change management activities within the department and as part of larger teams
Identify opportunities for continuous process improvement and work closely with team members toward achieving same
Interact with State and Federal agencies to provide claim data and answer questions
Qualification
Required
Bachelor's Degree in Business Administration or equivalent combination of education and experience required
2 years of experience with casualty claims management, or similar responsibilities required
Advanced knowledge of MS Office required
Strong organizational, interpersonal, and communication skills
Self-motivated & team-oriented
High attention to detail required
Able to maintain confidentiality of highly sensitive information
Must have, or obtain, adjuster license within one year
Preferred
Experience in Workers' Compensation claims administration preferred
Experience in process improvement and/or change management a plus
Experience with PeopleSoft, WFM, and ATS Claim System a plus
Knowledge of Federal and State regulatory compliance requirements a plus
Company
General Dynamics - Bath Iron Works
"Bath Built Is Best Built" Part of General Dynamics Marine Systems, Bath Iron Works is a full service shipyard specializing in the design, building and support of complex surface combatants for the U.S.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
unknown1995-08-18Acquired
Recent News
2025-10-03
2025-08-25
2025-08-01
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