Trade Risk Group · 1 day ago
Lost Time Adjuster
Bradenton, FL
Full-time
Onsite
Senior Level
5+ years expAcrisure Trade Credit is seeking a Workers’ Compensation Claims Adjuster who is knowledgeable in California Labor Code and claims administration. The role involves assessing coverage, conducting investigations, and managing claims from inception to resolution while ensuring compliance with all regulatory requirements.
CreditFinancial ServicesInsurance
Responsibilities
Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution
Complete quality investigations by gathering pertinent information. Reviews and evaluates coverage and/or liability. Secures necessary information (i.e., reports, policies, releases, statements, or other documents) in the investigation of claims
Conduct a thorough analysis of liability and continually assess exposure and evaluate for accurate reserves
Works toward the resolution of claims files and takes full charge of claim from inception to resolution
Will affect settlements/reserves within prescribed limits and submits recommendations to supervisor on cases exceeding personal authority
Ensures that claims payments calculated accurately and are issued in a timely and accurate manner
Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements
Maintains a diary to follow claim progress on all claims
Determine liability for permanent disability, mitigation of costs and resolution of claim
Oversee litigation and coordination of claim with defense team
Qualification
Required
5 years plus experience handling workers' compensation claims
Current California Adjuster Certification
Familiarity with state workers' compensation laws and regulations
Candidates will be required to have strong skills in customer service, verbal and written communications, time management, and organizational skills
Excellent attention to detail
Must demonstrate an ability to work independently
Must demonstrate a strong knowledge of computers and software
Demonstrated ability to manage relationships in a fast-paced environment along with problem solving and decision-making skills to work through a variety of challenging situations
Ability to respond to requests effectively and efficiently
Listens effectively and clearly expresses ideas and recommendations
Proficient in communicating effectively and clearly, both orally and in writing
Capable of carrying out detailed written or verbal instructions
Complete understanding of all Microsoft Office applications
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
Proficient in the operation of computer equipment and applications
Responds timely and consistently with all communication
Builds credibility with internal and external customer
Creates customer satisfaction
Familiar with the company tools and is comfortable reviewing with all levels of management in a professional manner
Benefits
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
Company
Trade Risk Group
Trade Risk Group is a credit insurance and trade credit insurance company.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Gene Ferraiolo
Partner
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