WHO WE ARE:
Prescient National is an AM Best A (Excellent) rated Workers' Compensation insurance company offering national coverage. We provide innovative insurance products and effective loss reduction strategies, tailored to meet both current and future challenges. Our solutions include Guaranteed Cost Policies, Deductible Policies, Retrospective Rating Policies, Excess/Self Insurance, and Captive Options, all designed to align with each employer's unique risk profile and appetite.
By leveraging deep analytics and fostering strong relationships with stakeholders, we deliver unparalleled service and creative solutions that distinguish us in the industry.
ABOUT THE ROLE:
This Lost Time Claims Adjuster role offers an exciting opportunity to make a direct impact by managing and resolving claims efficiently while ensuring compliance with state-specific regulations. You’ll have the chance to investigate claims, communicate with injured workers, coordinate medical treatments, and work closely with legal counsel and medical providers to drive successful outcomes. With a focus on analytical decision-making, negotiation, and customer service, this role allows you to blend technical expertise with strategic problem-solving.
If you're looking for a role where you can take ownership, contribute to fair and effective claim resolutions, and be part of a collaborative, mission-driven team, this is the perfect opportunity.
HOW YOU WILL MAKE AN IMPACT:
Review, examine, analyze and investigate workers compensation claims in Mid-West states such as MN, NE, SD, KS, IA.
Adjust claims according to state specific statutes and regulations
Communicate with injured workers to educate them on the workers compensation process and requirements
Establish claim reserves
Prepare and issue mandated requirements and documents
Coordinate medical treatment for injured workers
Identify cases with subrogation potential and pursue reimbursement
Act as a liaison between the injured worker, legal counsel and medical providers
Review and interpret medical reports
Attend hearings, trials and claim reviews
Process indemnity payments
Audit and approve charges related to a workers compensation claim file
Manage litigation and settlements on a claim file
Maintain appropriate licenses and certifications
Perform other duties or special projects as assigned
Participate in departmental, company and team meetings as needed
WHO YOU ARE:
Must be located in Minnesota and hold an active state license. Experience handling claims in MN, NE, SD, KS, IO.
Aptitude and willingness to gain a license in additional states
Minimum 5 years of insurance experience
5+ years of workers compensation insurance experience preferred
Bachelors degree preferred
Ability to operate independently and effectively
Strong interpersonal and organization skills
Strong problem-solving ability
Comfort using internet/online based software
Detail oriented
Excellent written and oral communication skills
Advanced skills in Microsoft Office products (Excel skills)
Strong negotiation skills
BENEFITS:
Remote Workplace:
Enjoy the ability to work from home or hybrid if you live close to our Charlotte, NC office!
Competitive Salary & Growth:
Join a team that thrives on leadership, initiative, creativity, and passion, with a salary that matches your drive.
Time off & Holidays:
3+ weeks of vacation and 13 paid holidays to recharge and relax
Health & Wellness:
We reimburse up to $25 a month for gym memberships
401(k) Savings:
We match up to 3% of your contribution
Excellent Health Benefits:
Vision + Dental are 100% covered by Prescient and we contribute 80% of medical coverage premiums
HSA, FSA Healthcare and Dependent Care:
$500 Employer contribution to your HSA and Flexible Spending Accounts options to support your healthcare needs.
Employee referral bonuses, Tuition assistance & MORE!