Address
Form of workPosition Type:
Finance/Adjuster, Workers Compensation Case
Date Posted:
1/24/2023
Location:
Risk Management
Date Available:
10/28/2021
The DeKalb County School District is seeking an experienced and professional Adjuster, Workers' Compensation Case.
Salary Grade/Schedule: Unified 120
Salary Schedules: Click Here
The material contained herein is subject to change. All open positions offered by the DeKalb County School District are subject to specific job requirements. The DeKalb County School District is an equal opportunity employer, and all hiring decisions are subject to federal, state, and local employment laws and regulations.
Title: Adjuster, Workers' Compensation Case
Under general supervision, investigates, administers, evaluates, and reconciles workers' compensation claims for the DeKalb County School District's self-insured workers' compensation programs.
Essential Functions:
The following duties are representative for this position. The omission of specific statements of duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.
• Documents, investigates, and manages incident-only, medical-only, and lost-time workers' compensation claims
• Maintains electronic claims files to include documenting employee, attorney, and state board of workers' compensation, employer, medical professional, and vendor communications
• Assesses claims for financial exposure and reports financial reserves for claim loss • projections
• Reports all claims that qualify to the DCSD's Workers Compensation Excess Carrier
• Provides technical assistance to employees, administrators, and agencies relative to claims
• Provides education and explanations surrounding the technical framework of the workers' compensation system to employees and administrators
• Calculates and pays indemnity and mileage benefits to injured workers timely
• Reviews medical bills and approve or deny payment per the rules of Georgia's Workers' Compensation Act
• Reviews medical records and documentation and approves follow-up care and prescriptions if applicable, to include physical therapy, diagnostic tests, drug tests, durable medical equipment, and medications prescribed by the authorized treating physician
• Collaborates with DCSD legal counsel concerning claims in litigation that have ongoing contested issues that are pending adjudication, resolution, or settlement
• Performs other duties as assigned
EDUCATION AND/OR EXPERIENCE:
• High school diploma or GED equivalent required.
• Associate degree or equivalent completed college coursework from a Georgia Professional Standards Commission approved accredited college or university preferred.
• Minimum three (3) years of experience handling both medical and handling both medical and lost time Workers Compensation claims required
• Valid Workers Compensation Adjuster License issued by the Office of Insurance and Safety Commissioner of Georgia required.
01/24/2023
Attachment(s):
Finance/Adjuster, Workers Compensation Case
Date Posted:
1/24/2023
Location:
Risk Management
Date Available:
10/28/2021
The DeKalb County School District is seeking an experienced and professional Adjuster, Workers' Compensation Case.
Salary Grade/Schedule: Unified 120
Salary Schedules: Click Here
The material contained herein is subject to change. All open positions offered by the DeKalb County School District are subject to specific job requirements. The DeKalb County School District is an equal opportunity employer, and all hiring decisions are subject to federal, state, and local employment laws and regulations.
Title: Adjuster, Workers' Compensation Case
Under general supervision, investigates, administers, evaluates, and reconciles workers' compensation claims for the DeKalb County School District's self-insured workers' compensation programs.
Essential Functions:
The following duties are representative for this position. The omission of specific statements of duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.
• Documents, investigates, and manages incident-only, medical-only, and lost-time workers' compensation claims
• Maintains electronic claims files to include documenting employee, attorney, and state board of workers' compensation, employer, medical professional, and vendor communications
• Assesses claims for financial exposure and reports financial reserves for claim loss • projections
• Reports all claims that qualify to the DCSD's Workers Compensation Excess Carrier
• Provides technical assistance to employees, administrators, and agencies relative to claims
• Provides education and explanations surrounding the technical framework of the workers' compensation system to employees and administrators
• Calculates and pays indemnity and mileage benefits to injured workers timely
• Reviews medical bills and approve or deny payment per the rules of Georgia's Workers' Compensation Act
• Reviews medical records and documentation and approves follow-up care and prescriptions if applicable, to include physical therapy, diagnostic tests, drug tests, durable medical equipment, and medications prescribed by the authorized treating physician
• Collaborates with DCSD legal counsel concerning claims in litigation that have ongoing contested issues that are pending adjudication, resolution, or settlement
• Performs other duties as assigned
EDUCATION AND/OR EXPERIENCE:
• High school diploma or GED equivalent required.
• Associate degree or equivalent completed college coursework from a Georgia Professional Standards Commission approved accredited college or university preferred.
• Minimum three (3) years of experience handling both medical and handling both medical and lost time Workers Compensation claims required
• Valid Workers Compensation Adjuster License issued by the Office of Insurance and Safety Commissioner of Georgia required.
01/24/2023
Attachment(s):
- Adjuster, Workers Compensation Case.pdf
