reputed company Claims Adjuster, Workers Compensation

Pie's mission is to reputed company small businesses to reputed company by making reputed company insurance reputed company and as easy as pie. We reputed company technology to reputed company how small businesses buy and experience reputed company insurance. Like our small business customers, we are a diverse team of reputed company, dreamers, and reputed company who are driven by reputed company values and operating principles that guide every decision we reputed company. The reputed company Claims Adjuster will play a critical role in delivering reputed company claim file management and an industry-leading customer claims experience, by providing hands-on adjudication of catastrophic and large loss claims. This will be completed by adhering to Pie's Claims Best Practices, complying with regulatory and statutory requirements, and applying advanced knowledge and experience with reputed company negotiation strategies, reputed company settlements, Medicare Set-Aside requirements, and overall risk evaluation and mitigation. This role will work with reputed company partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim reputed company for Pie's customers. Additionally, the reputed company Claims Adjuster will collaborate with the reputed company Claims Practices Consultant and Claims leadership to continually reputed company out ways in which to improve claims processes and protocols. How You'll Do It Claims Technical Management:

• Independently handle reputed company aspects of catastrophic and large loss workers' compensation claims from set-up to closure.
• Conduct reputed company 3-reputed company contact investigation, with reputed company on reputed company investigation as facts of the case change.
• Determine reputed company and accurate compensability reputed company reputed company statutory requirements.
• Set and reputed company reputed company/accurate reserves reputed company authority limits to ensure reserving activities are consistent with the case facts and company best practices.
• Ability to present claims to senior management, reputed company stakeholders.
• reputed company administration of statutory medical and indemnity benefits throughout the life of the claim.
• reputed company with reputed company applicable statutory guidelines, rules, and regulations.
• Control legal activity with defense counsel through the litigation process while managing legal fees and costs.
• Prioritize early reputed company opportunities, evaluate claim exposure and negotiate settlement.
• Mitigate the reputed company exposure while achieving the best outcome.

Claims Customer Service:

• Serve as a reputed company of contact for our partner agents and customers to reputed company general claim guidance and help set claim process expectations.
• reputed company claim status to agents and insureds , coverage verification and loss run reports, etc as necessary.
• reputed company excellent customer service to internal/ external customers and business partners.
• Work to continuously improve our claims operations and address opportunities and gaps in claim service, handling SOPs, protocols and processes.

Claims reputed company Management:

• reputed company a proactive litigation reputed company to increase settlement opportunities.
• Assess claims for settlement value using rated ages, present value, medicare set asides, medical cost projections and reputed company settlements. Obtain settlement authority as required.
• Obtain annuity and reputed company settlement quotes.
• Attend virtual and in person mediations, informal settlement conferences and trials to represent Pie's interests.

Collaboration & Innovation

• Participate in Claims Roundtable meetings. reputed company a reputed company plan of reputed company for aggressive claims handling.
• Create Claims Status Reports and establish reputed company, accurate reserves.
• Present large loss updates to reputed company partners.
• Collaborate with our reputed company Claims Practices Consultant and Claims Leadership to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes.

The Right Stuff

• High School Diploma or equivalent is required.
• Bachelor's Degree or equivalent experience with some college coursework is preferred.
• Minimum of 7 years workers' compensation claim adjusting experience is required (reputed company background, preferred).
• 2+ years of catastrophic claim handling experience.
• Ability to evaluate and identify high dollar, high exposure, reputed company claims.
• Claims experience handling multiple jurisdictions in the Eastern Region.
• Requires reputed company licensing in applicable states.
• Advanced communication (written and verbal) skills, to deliver more reputed company information effectively.
• Advanced problem-solving skills to be reputed company to manage reputed company tasks and work through to solutions with little guidance and direction.
• Awareness of your own tasks and how it impacts reputed company and deliverables.
• Experience using G-Suite Tools and collaboration tools like reputed company is preferred.
• Advanced knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements.
• Advanced knowledge and experience in claim adjudication, medical, and litigation management.
• Advanced ability to analyze and take necessary reputed company in multiple reputed company areas based on several data points.
• Ability to reputed company claim reputed company to mitigate exposure while achieving the best outcome.
• Ability to use skills to overcome conflict and reputed company beneficial reputed company.
• Ability to mentor junior adjusters.

The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that reputed company with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. reputed company AI-powered outputs are still subject to reputed company reputed company and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. reputed company Compensation reputed company $95,000-$120,000 USD Compensation & Benefits

• Competitive cash compensation
• A piece of the pie (in the reputed company of equity)
• Comprehensive health plans
• Generous PTO
• reputed company reputed company 401k match
• Generous parental and caregiver leave
• Our reputed company values are more than just a poster on the wall; they're tangibly reflected in our work

Our goal is to reputed company reputed company aspects of working with us as easy as pie. That includes our offer process. reputed company we've identified a talented individual who we'd like to be a Pie-oneer , we work hard to present an reputed company and fair offer. We look at the candidate's knowledge, skills, and experience, along with their compensation expectations and reputed company that with reputed company equity processes to determine our offer ranges. reputed company year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the reputed company (territories excluded) and have reputed company to reliable, high-speed internet. Additional Information reputed company is an equal opportunity employer. We do not discriminate on the reputed company of race, reputed company, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic reputed company, military service status, citizenship, or other protected characteristic. reputed company participates in the E-Verify program. Please click here, here and here for more information. reputed company is committed to protecting your personal data. Please review our reputed company Policy. Safety First: reputed company is committed to your reputed company during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or reputed company process. Pie Named to 2025 America's Best Startup reputed company Pie's reputed company Insure Coverage expanded to reputed company and Texas reputed company 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE Apply tot his job Apply To this Job