Claims ADJUSTER Job at Techgene LLC, Golden, CO

  • Techgene LLC
  • Golden, CO

Job Description

Workers' Compensation Claims Adjuster Schedule: Monday Friday, 8:00 AM 5:00 PM Location: Golden, CO REQUIREMENTS Experience Minimum 3 years of experience in workers' compensation claims adjusting . Education High School diploma required. Additional college coursework equivalent to an Associate's Degree or higher preferred. Certifications No certification required. ARM (Associate in Risk Management) preferred. ARM-P (Associate in Risk Management for Public Entities) preferred. KNOWLEDGE, SKILLS AND ABILITIES Knowledge of Colorado Division of Workers' Compensation (DOWC) regulations, required forms, and filing deadlines. Knowledge of insurance policies and fundamental workers' compensation coverage and compensability principles. Knowledge of medical and insurance terminology used in claims processing. Knowledge of administrative procedures and document preparation for claims litigation. Experience using Risk Management Information Systems (RMIS) for data entry, claims notes, and status reporting. Ability to gather and verify demographic information, contact information, and initial injury reports. Strong mathematical skills for calculating indemnity payments and monitoring claim reserves. Ability to coordinate IMEs, DIMEs, social media checks, and surveillance assignments. Strong customer service and communication skills when working with injured workers, HR, payroll, and management. Ability to identify complex issues and elevate them appropriately. Ability to maintain organized electronic and physical claim files. Ability to maintain confidentiality of sensitive medical and personal information. Strong analytical, organizational, problem-solving, and time-management skills. Ability to work effectively in a collaborative and changing environment. PHYSICAL REQUIREMENTS Ability to focus on objects at varying distances and distinguish between colors, with corrective lenses if needed. Ability to perform tasks requiring manual dexterity, including operating computers and small office equipment. Basic mobility and ability to safely navigate the office environment. Ability to speak clearly, listen attentively, and communicate information accurately. May be required to give presentations to groups. MENTAL REQUIREMENTS Ability to analyze complex situations, identify potential risks, and develop effective solutions. Ability to remain flexible in dynamic environments and adjust plans as requirements change. Ability to communicate and collaborate effectively with other teams. Ability to manage time and priorities while meeting deadlines. #J-18808-Ljbffr

Job Tags

Work at office, Monday to Friday, Flexible hours

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