Are you successful with prioritization and don’t miss the details?  

Do you thrive in a fast paced work environment?  

Do you have the drive investigate and resolve incidents of workers’ compensation claims? 

Essential Functions

1.  Investigate incidents presenting exposure to the company
2.  Manage, document, analyze, negotiate, and settle claims for resolution
3.  Manage and control claim related documentation including Personally Identifiable Information (PII) and Health Insurance Portability and Accountability Act (HIPAA) related information
4.  Manage litigation to obtain favorable outcome and resolution
5.  Collaborate with defense counsel on litigation closure strategy
6.  Investigate, evaluate, and resolve Medical Only and/or Lost Time Employee Injury claims with independent settlement authority
7.  Monitor third-party administrator (TPA) to ensure claims are processed efficiently
8.  Provide reserve recommendation to PFJ corporate management for cases processed by TPA and applicable in-house claims
9.  Focus on loss prevention and hazard correction during claim handling
10. Resolve conflicts with claims in collaboration with senior or more tenured adjuster
11. Model behaviors that support the company’s common purpose; ensure guests and team members are supported at the highest level
12. Ensure all activities are in compliance with rules, regulations, policies, and procedures
13. Complete other duties as assigned

Qualifications

• High school diploma or equivalent certification required
• Bachelor’s degree in business or related field preferred
• Minimum three years’ experience in related work experience preferred

Additional Information

Nation-wide Medical Plan/Dental/Vision
401(k) and Flexible Spending Accounts
Adoption Assistance
Tuition Reimbursement
Onsite Gym and Cafeteria
Weekly Pay

All your information will be kept confidential according to EEO guidelines