Claims Adjuster Job at Robert Half (Charlotte)

Job Responsibility

Handle workers’ compensation claims caseload from inception to final settlement
Original set up of claim
Perform a factual investigation of claim
Set reserves and determine compensability
Communicate daily with claimants, medical personnel, and representatives from housing authorities for updates
Pay weekly lost time claims and medical bills
Assign rehabilitation referrals and legal representation as needed
Coordinate with nurse case managers, vocational counselors, attorneys, and professional surveillance services to bring claims to a conclusion
Update claims information into Riskmaster Claim’s System to include medical notes and daily activity
Transmit medical bills to bill review vendor, scan, and attach medical bills to claim
File all claims documentation into paper file
Prepare all required IC forms
Subrogation against third parties
Attend IC hearings or mediations, if required
Settle claims within established dollar authority - $50,000
Notify reinsurer of claims that fall under reinsurance category
Closure of claim
Transmit Medicare Secondary Payer through ISO Navigator
Provide status of claims at staff meetings and board meetings when requested
Attend educational seminars, safety seminars, and classes as assigned
Perform “Special Project” work when requested by Management
Assist with the daily operations of the office