Workers Compensation Claims Adjuster

Job Description

Job Description

Position

WCF is an "A" Rated insurance carrier that is growing and is looking for an applicant that wants to join a company with a great culture, great benefits, and an amazing claims team. Our team strives to deliver exceptional customer service to our policy holders and agents. Caseloads are kept well below the industry standard to allow adjusters time to do their job. We have a proprietary claims system, designed by claims professionals, who value efficiency and ease of use. The claims department has an immediate opening for someone who can demonstrate the WCF values to join their team as a Workers Compensation Claims Adjuster. This is a full-time, exempt position that reports to the WCF's Meridian office. This is a hybrid position requiring 3 days a week in office.

Responsibilities

The adjuster manages workers' compensation claims from beginning to end. This includes investigating, documenting, and determining coverage and liability for industrial-accident and occupational-disease claims. The person in this position closely reviews medical records and other documentation in order to manage the medical and disability aspects of all claims. The adjuster also works closely with injured workers, policyholders, agents, providers, vendors, other WCF departments, the Idaho Industrial Commission, and others to make sure that injured workers receive appropriate benefits under the relevant statutory and regulatory guidelines.

Qualifications

The most qualified candidate will have :

• At least two years of claims adjusting experience handling complex, litigated cases
• Thorough understanding of the Idaho Workers' Compensation and Occupational Disease Acts, the Idaho Fair Claims Practices Act, Idaho Industrial Commission rules and procedures, and WCF's established internal claims standards;
• Working knowledge of medical terminology;
• Superb communication skills
• Keen attention to detail, polished investigative abilities, and first-rate organizational and interpersonal skills;
• Bachelor's degree or AIC designation or equivalent work experience
• Ability to speak Spanish a plus but not required.

Ability to hire at the Senior WC Adjuster or the WC Adjuster level.

An internal candidate should have six months in their current position, have acceptable job performance, and must notify their current supervisor that they have applied for the position.

WCF INSURANCE DE&I MISSION

Promote and embrace diverse, inclusive, equitable, and safe workplace.

WCF INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER

WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.

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