Lost Time Claims Adjuster-Remote

Packard Claims Administration is a fast paced and growing TPA handing Workers' Compensation claims looking for a Lost Time Claims Examiner with 5+ years litigation experience.

Responsibilities:

• Must have and maintain Florida Adjuster license
• Determine coverage, compensability and potential for subrogation recovery on assigned claims
• Ability to investigate claims with little supervision ranging from simple to more complex
• Communication timely with appropriate parties involved in claims per company policies
• Responsible for setting, maintaining and adjusting reserves for the life of the claim
• Work with in-house nursing team to develop and execute return to work strategies
• Document and execute action plans to bring claims to final resolution
• Negotiate claims for settlement within desk authority
• Knowledge of Jurisdictional requirements to ensure timely denial and/or payment of benefits
• Maintain continuing education requirements for assigned jurisdictions
• Keep up to date on case laws for each assigned jurisdiction
• Obtain extensive knowledge of assigned claims for preparation of possible depositions and/or mediations
• Act in accordance with company policies and procedures

Qualifications:

• High school diploma
• 5+ or more years related claims experience required
• Appropriately licensed and/or certified in all states in which claims are being handled
• Extensive knowledge of accepted industry standards and practices Computer experience with related claims and business software

The position is available to work from home within the state of Florida.

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