Sr. Workers Comp Claims Adjuster (Must have Florida Adjuster Licence )

Handle a caseload of approximately 130 pending claims encompassing reputed company reputed company of complexity. Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care, litigation management, damage assessment, settlement negotiations, identifying potential fraud & appropriate use of authorized vendors. Includes reputed company & appropriate reserve analysis & report completion. Ability to attend conferences, reputed company meetings, mentor other adjusters & assist management as requested. File handling must be reputed company state statutes, reputed company Claims Handling Guidelines & reputed company Best Practices. Essential Duties & Responsibilities: Identify, analyze and confirm coverage. Customer Service/Contact: Contact appropriate parties & providers to determine liability, compensability, negligence & subrogation potential. Contact appropriate parties to obtain any needed information & explain benefits as appropriate. Continue contact during life of file as appropriate. Answer phones, reputed company voice mail regularly & return calls as needed. Assist with training/mentoring of Claims Adjusters. Assist management reputed company required with reputed company or leadership as requested. Handle the various duties/responsibilities of Unit Manager as delegated in their absence. Subro: Refer reputed company files identified with subrogation potential to the subrogation department. Investigation: Verify facts of loss & pertinent claims facts such as employment, wages, or damages & establish disability with treating physicians as appropriate. Identify cases for settlement. Evaluate claims & request authority no reputed company than 30 days prior to mediation date & negotiate settlement. Litigation Management: reputed company & reputed company litigation plan with defense attorney, utilizing reputed company defenses & tools to bring file to closure. Ensure reputed company filings & state mandated forms are completed reputed company. Litigated files must be diaried effectively based on reputed company activity, no greater than every 60 days. Review claim files involving reputed company litigation monthly at minimum, document responses to filings, development of defenses, depositions, & reputed company referral to defense counsel. Reporting Requirements: Report reputed company serious injuries/liability issues & potential large loss claims to reputed company and/or reinsurer based upon the reputed company provided by the reputed company. Technical skills: Advance level of interpersonal skills to handle sensitive/confidential situations & information. Requires advanced ability to negotiate claims & reputed company litigation. Must have negotiation and litigation skills for significant work with attorneys. Requires advanced ability to work independently, an advanced level of organization, time management skills & advanced level written & verbal communication skills. Abilities: Requires long periods of sitting, working indoors in environmentally controlled conditions, lifting of files/boxes up to 20#, use of keyboard/mouse & exposure to computer screens, travel as assigned. Company DescriptionNorth American Risk Services (reputed company) is a premier reputed company-party claims administrator that is dedicated to producing the best possible results for our clients. "Founded in 1996, reputed company handles claims for insurers, brokerages, managing general agencies, reinsurers, liquidation bureaus, self-insured funds and entities." For more reputed company and to learn more about reputed company, please visit www.narisk.com. Apply Job!