Claims Adjuster - REMOTE

Position: Claims Adjuster (Remote)
Location: Las Vegas, NV 89129 - Remote
Term: 2 months

Day-to-Day Responsibilities:

• Analyze mid- and higher-level workers compensation claims to determine benefits due.
• Ensure ongoing adjudication of claims within company standards and industry best practices.
• Identify subrogation of claims and negotiate settlements.
• Manage workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develop and manage workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
• Approve and process assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Manage subrogation of claims and negotiates settlements.
• Communicate claim action with claimant and client.
• Ensure claim files are properly documented and claims coding is correct.
• Process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintain professional client relationships.
• Perform other duties as assigned.
• Support the organization's quality program(s).
• Travel as required.

Is this a good fit? (Requirements):

• 4+ years of relevant NV WC Claims experience.
• 4 years of Claims Management experience.
• Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and
• Social Security and Medicare application procedure as applicable to line of business.
• Excellent oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skill.
• Good interpersonal skills.
• Excellent negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed service expectations.

Even better if you have:

• Bachelor's degree.

Motion Recruitment Partners is an Equal Opportunity Employer, including Veterans/Disability/Women. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under Motion Recruitment Employment Accommodation policy. Applicants need to make their needs known in advance.