Workers’ Compensation Claims Adjuster Job at Alternative HR (Sioux Falls)

Claims Technician

We are seeking a qualified Claims Technician for our Workers’ Compensation depar...

Location

United States , Anderson

Salary:

19.00 - 26.00 USD / Hour

Sierra Pacific Industries

Expiration Date

January 24, 2026

Requirements

1 year of recent, progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Demonstrated ability to work independently and in a team environment
Communicate effectively, verbally and in writing, with internal and external parties

Job Responsibility

Provide administrative support for our Workers' Compensation Adjusters
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Prepare and submit various requests/responses, with supporting documentation, to the proper agency or vendor
Provide authorization for requested medical treatment or other services, when appropriate
Schedule appointments and communicate information to appropriate party/parties
Obtain medical, or other records, and route appropriately
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Sort incoming mail and documents, scan into document management system, evaluate and index documents to the appropriate claim file with pertinent notations

What we offer

We train and promote from within
Excellent low-cost health benefits
Retirement plan with employer-paid contributions
Paid vacation and 10 holidays
full Health Benefits Plan (including medical, dental, and vision) with low-cost premiums
a 401(k) with Company Match
additional Retirement Contributions
company-paid Life Insurance

Fulltime

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Claims Technician

We are seeking a qualified Claims Technician for our Workers’ Compensation depar...

Location

United States , Anderson

Salary:

19.00 - 26.00 USD / Hour

Sierra Pacific Industries

Expiration Date

February 01, 2026

Requirements

1 year of recent, progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Demonstrated ability to work independently and in a team environment
Communicate effectively, verbally and in writing, with internal and external parties

Job Responsibility

Provide administrative support for our Workers' Compensation Adjusters
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Prepare and submit various requests/responses, with supporting documentation, to the proper agency or vendor
Provide authorization for requested medical treatment or other services, when appropriate
Schedule appointments and communicate information to appropriate party/parties
Obtain medical, or other records, and route appropriately
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Sort incoming mail and documents, scan into document management system, evaluate and index documents to the appropriate claim file with pertinent notations

What we offer

We train and promote from within
Excellent low-cost health benefits
Retirement plan with employer-paid contributions
Paid vacation and 10 holidays
full Health Benefits Plan (including medical, dental, and vision) with low-cost premiums
a 401(k) with Company Match
additional Retirement Contributions
company-paid Life Insurance

Fulltime

Legal Assistant

Robert Half is looking for a full-time Legal Assistant to join a reputable law f...

Location

United States , Chicago

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in a legal assistant or similar role
Proficiency with case management software and e-filing systems
Strong organizational skills with the ability to manage multiple priorities simultaneously
Excellent written and verbal communication abilities
Experience in client relations and claim administration
Familiarity with billing functions and calendar management
Knowledge of workers' compensation processes is highly desirable
Spanish fluency is a plus, but not required

Job Responsibility

Handle a high volume of case files and ensure all documentation is up to date
Communicate effectively with clients, insurance adjusters, opposing counsel, and medical providers to facilitate case progress
Coordinate with insurance representatives to secure necessary authorizations for client medications, treatments, and surgeries
Draft legal documents such as routine motions, subpoenas, discovery requests, and correspondence
Compile and prepare special reports for insurance carriers to support claims
Request and manage itemized bills and medical records from healthcare providers
Maintain accurate records and ensure compliance with case management software
Assist in billing functions and calendar management to keep schedules organized and deadlines met
Stay updated on workers' compensation laws and procedures to provide accurate support

What we offer

Medical
dental
vision
401K
Transit program
Employee Assistance Program
Generous time off policy for all employees

Fulltime

Agency Insurance Claims Manager

Capstone, an Alera Group Company, is looking for an Agency Claims Manager. We ar...

Location

United States , Manasquan, New Jersey

Salary:

50000.00 - 85000.00 USD / Year

Alera Group

Expiration Date

Until further notice

Requirements

Multi-line claims experience is ideal
Experience working in an agency or brokerage environment is a plus
Ability to effectively communicate both verbally and in writing
Computer proficiency with agency management systems, web-based tools, and Microsoft (Outlook, Excel and Word)
Ability to establish priorities in a fast-paced work environment and to organize time efficiently to meet or exceed deadlines
Ability to build trust in the team that you will be able to execute on deliverables that were committed to without constant follow-up from other team members
Ability to remain calm under pressure and in difficult situations, all while delivering excellent customer service

Job Responsibility

Be a claims advocate for clients
take claim calls, assist clients with claims submission to carriers, aid with claims service issues and obtain / provide claim status updates
Form relationships with carriers and TPAs, working closely with adjusters and other claims personnel on claims handling, ensuring proper and efficient claims resolution
Analyze and interpret claims information from loss runs and other sources, drawing accurate conclusions
Prepare status and analytic reports for Capstone Management and customers as required
See claims issues through to resolution, while effectively communicating with client and internal team members on the status of the claims
Establishing and building out the Capstone’s agency claims management process
Partner with Carriers and TPA’s to assure accuracy of reserves, claim status, etc.

What we offer

medical, dental, life and disability insurance, 401k, generous paid time off

Fulltime

Worker's Compensation Program Manager

The Workers’ Compensation Program Manager is responsible for the effective manag...

Location

United States , Fresno

Salary:

93825.00 - 117275.00 USD / Year

Foster Farms

Expiration Date

Until further notice

Requirements

Bachelor’s degree from an accredited college or university with major coursework in risk management, law, claims, or related technical field preferred
Minimum of 5-7 years of claims experience working for an attorney, insurance carrier, TPA or self-insured employer
Proficient with Insurer Claims systems and Risk Management Information Systems (RMIS)
Strong Computer skills including Excel, Word, PowerPoint, Gmail, Google Suite
Excellent verbal and written communication skills
Empathetic and caring demeanor with a strong focus on customer service
Demonstrated ability to effectively build, develop, and collaboratively work within cross-functional teams
Strong analytical, influential, interpersonal, and organizational skills
Must be results-oriented with the ability to drive continuous improvement within the organization

Job Responsibility

Oversee TPA and insurance partners to ensure compliance and effective claims handling
Collaborate with legal counsel on complex and litigated claims, including mediations, depositions, and settlements
Partner with HR, Operations, and Safety teams to support return-to-work programs, injury prevention, and incident investigations
Lead quarterly claim reviews to monitor performance and drive continuous improvement
Ensure TPA compliance with contracts, service standards, and regulatory reporting requirements
Develop and track key performance metrics to improve outcomes, reduce costs, and strengthen program effectiveness
Serve as an advocate for injured employees while promoting consistency, fairness, and accountability in claims management
Provide education and guidance to field leaders on incident management and best practices
Stay current on changes in workers’ compensation laws and state regulations to ensure compliance
Oversee reserving practices, ensuring timely and accurate updates

Fulltime

Worker's Compensation Program Manager

The Workers’ Compensation Program Manager is responsible for the effective manag...

Location

United States , Livingston

Salary:

93825.00 - 117275.00 USD / Year

Foster Farms

Expiration Date

Until further notice

Requirements

Bachelor’s degree from an accredited college or university with major coursework in risk management, law, claims, or related technical field preferred
Minimum of 5-7 years of claims experience working for an attorney, insurance carrier, TPA or self-insured employer
Position will be located onsite in the Central Valley
Certifications/Designations: AIC, ARM, CPCU, SIP designation or equivalent certification(s) preferred
Proficient with Insurer Claims systems and Risk Management Information Systems (RMIS)
Strong Computer skills including Excel, Word, PowerPoint, Gmail, Google Suite
Excellent verbal and written communication skills
Empathetic and caring demeanor with a strong focus on customer service
Demonstrated ability to effectively build, develop, and collaboratively work within cross-functional teams
Strong analytical, influential, interpersonal, and organizational skills

Job Responsibility

Oversee TPA and insurance partners to ensure compliance and effective claims handling
Collaborate with legal counsel on complex and litigated claims, including mediations, depositions, and settlements
Partner with HR, Operations, and Safety teams to support return-to-work programs, injury prevention, and incident investigations
Lead quarterly claim reviews to monitor performance and drive continuous improvement
Ensure TPA compliance with contracts, service standards, and regulatory reporting requirements
Develop and track key performance metrics to improve outcomes, reduce costs, and strengthen program effectiveness
Serve as an advocate for injured employees while promoting consistency, fairness, and accountability in claims management
Provide education and guidance to field leaders on incident management and best practices
Stay current on changes in workers’ compensation laws and state regulations to ensure compliance
Oversee reserving practices, ensuring timely and accurate updates

Fulltime

New

Senior Human Resources Generalist

This Senior HR Generalist will serve as a key resource for employees and leaders...

Location

United States , Schaumburg

Salary:

80000.00 - 90000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Human Resources or related field, or equivalent experience
Bilingual Spanish/English
Minimum of 4 years HR Generalist experience within a manufacturing environment
Strong understanding of federal, state, and local employment laws
Proficiency with Microsoft Office applications
Excellent communication, customer service, and interpersonal skills
Highly organized, detail‑oriented, and able to manage multiple priorities independently while maintaining confidentiality

Job Responsibility

Maintain a strong presence on the production floor, offering support, answering questions, and reinforcing company culture
Partner with corporate HR and payroll to process new hires, terminations, compensation changes, and other personnel actions
Lead the full onboarding experience—from offer letter through first‑day orientation—including document verification and preparation of materials
Administer employee benefits programs, including enrollments, changes, leaves of absence, and employee communication
Manage workers’ compensation reporting, unemployment claims, disability cases, and related documentation
Handle employee relations matters by addressing concerns, facilitating conflict resolution, and conducting investigations
escalate complex issues as appropriate
Participate in disciplinary discussions, termination meetings, and investigative processes
Track and maintain compliance for required and optional training programs such as safety, anti‑harassment, certifications, and continuing education
Support compensation administration by drafting job descriptions, evaluating roles, recommending merit and promotional adjustments, and assisting with salary surveys

What we offer

Comprehensive benefits package including medical, dental, vision, 401(k), and educational assistance
Competitive paid time off and company‑paid holidays
A collaborative environment with company events and opportunities to connect with colleagues throughout the year

Fulltime

New

SIU Investigator

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Sp...

Location

United States , Chattanooga; Crossville; Cleveland

Salary:

Not provided

Allied Universal®

Expiration Date

Until further notice

Requirements

Private Investigator’s license required prior to applying
Must possess a valid driver's license with at least one year of driving experience
Must possess one or more of the following: Bachelor’s degree in Criminal Justice OR High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area
Proficient in utilizing laptop computers and cell phones
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error

Job Responsibility

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found
Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor

What we offer

Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company’s 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions

Fulltime

Workers’ Compensation Claims Adjuster

Alternative HR

Location:
United States , Sioux Falls

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 20, 2026

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