CopperPoint has an exciting opportunity for a remote Workers’ Compensation
Claims Adjuster Senior, Indemnity. The ideal candidate must possess Colorado
jurisdictional claims experience/knowledge. Additional experience in UT, AZ,
MO, KS, NM, NV, OK and/or TX jurisdictions is preferred. The Workers’
Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time
loss workers’ compensation claims to determine compensability. They will also
adjudicate claims to ensure timely payment of indemnity and medical benefits due
within company standards and in compliance with regulatory requirements, as well
as establishing and maintaining action plans and reserves to ensure proactive,
cost-effective claims management.
Job responsibilities:
Analyze and investigate indemnity claims to determine compensability
decisions by interpreting and applying laws, rules, and regulations of
workers’ compensation.
Utilize all available resources as appropriate.
Build and maintain professional relationships with injured workers, policy
holders, brokers and agents through proactive claim management and timely
communications.
Appropriately document communications and claim management activities.
Develop, maintain and adhere to action plans and reserves on indemnity claims
while proactively managing claims to resolution.
Establish and maintain cost drivers and data elements to ensure accurate NCCI
and Medicare reporting.
Proactively manage claims in accordance with company standards and statutory
requirements.
Ensure timely payment of indemnity and medical benefits.
Actively utilize all available cost containment measures and programs.
Identify settlement opportunities.
Negotiate settlements with claimants and attorneys.
Conducts dispute resolution with claimants and attorneys.
Testify at hearings when necessary.
Qualifications/Competencies:
Bachelor's degree (B. S. or B.A.) in business administration, communications,
or a related field from an accredited four-year college or university is
preferred.
Excellent customer service skills to include initiative, mature judgement and
discretion.
This is not an entry level position, all candidates must have at least three
years prior experience handling/adjusting workers’ compensation claims.
Colorado workers’ compensation claims management experience is required.
Experience/licensure in one or more of the other states in our region is
highly preferred (AZ, MO, UT, KS, NM, NV, OK and/or TX)
Bilingual in Spanish preferred.
Strong technical workers’ compensation knowledge with prior successful
experience in a workers' compensation as well as other commercial lines
claims management environment.
Knowledge of Department of Insurance (DOI), NCCI, Department of Labor and
Employment (CDLE) rules and regulations.
Ability to analyze, interpret and apply laws, rules and regulations
pertaining to workers’ compensation.
Ability to stay current with changes to statutory, industry rules and
regulations as well as company policies and procedures which may impact
claims management.
Ability to set priorities, manage time, organize work and meet deadlines.
Work Location:
This is a remote-based position, with preference given to candidates located
near our Phoenix or Dallas offices. Candidates located near our Irvine,
Seattle, Anchorage, or Atlanta offices may also be considered. Occasional
travel is required for client and broker interaction, team collaboration,
training, company events, and other business needs. The nature and request
will depend on client, team, and organizational needs, but generally will be
less than 20%.
Benefits:
Employees and their families are eligible to participate in CopperPoint
Insurance Companies benefit plans including medical, dental, vision,
short-term disability, long-term disability, life insurance, a health savings
account, a flexible spending account, and a 401k plan.
We provide some benefits at no cost to the employee (Basic Life Insurance and
AD&D at two times an employee’s annual salary, Short- and Long-term
Disability coverage, and Employee Assistant Plan).
Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour,
which may total 20 days a year. In addition, employees will also receive 10
paid holidays throughout the calendar year.
Salary Range:
$68,000.00 - $98,500.00 annually
Compensation may vary depending on skills, experience, education, and
geographical location.
In addition to base salary, compensation may include an annual discretionary
bonus.
Founded in 1925, CopperPoint Insurance Companies is a leading provider of
workers’ compensation and commercial insurance solutions. With an expanded Line
of insurance products and a growing ten-state footprint in the western United
States, CopperPoint embodies stability for policyholders in Alaska, Arizona,
California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington.
CopperPoint Mutual Insurance Holding Company is the corporate parent of
Arizona-based CopperPoint Insurance Companies, Alaska National Insurance
Company, and other CopperPoint Insurance Entities.
CopperPoint’s culture of compassion extends to the community through employee
volunteerism, corporate matching, Board service, program sponsorships, and
in-kind contributions. We empower employees by providing 12 hours of paid
volunteer time annually and matching their personal contributions to the
charities of their choice up to $500 per year. In 2020, CopperPoint employees
reported 3,500 volunteer hours.
CopperPoint offers a competitive compensation package and comprehensive benefits
package including major medical, dental, and vision and a wide range of
competitive benefits programs, generous matching contributions to your 401(k)
plan, generous paid time off, tuition reimbursement, and other education
benefits and business casual dress. CopperPoint is an equal employment
opportunity employer. All qualified applicants will receive consideration
without regard to race, color, sex, religion, age, national origin, disability,
veteran status, sexual orientation, gender identity or expression, marital
status, ancestry or citizenship status, genetic information, pregnancy status,
or any other characteristic protected by state, federal or local law.
CopperPoint maintains a drug-free workplace.
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