Claims AnalystAdjuster (Little Rock AR or Enid, OK)

Triangle Insurance is Now Hiring - Full-Time Claims Analyst / Adjuster - with an option to work out of the Little Rock AR or Enid OK office.

Join our team and immerse yourself in a highly respected organization cemented by a dynamic culture rich with ingenuity and integrity. Our generous compensation packet includes competitive pay paid time off exceptional benefits and dual retirement.

Claims Analyst / Adjuster - Job Description

Job Summary :

Responsible for processing workers compensation claims where the injury or illness is limited to medical treatment. This role provides administrative and technical support to claims adjusters and other team members ensuring efficient processing of claims.

Duties / Responsibilities :

Administrative :

• Claim Setup and Data Entry. Receiving new claim information inputting data into the claims management system and creating claim files. This may involve gathering initial information from the insured or agent.
• Document Management. Organizing scanning and indexing claim-related documents (e.g. accident reports photos medical records legal correspondence) and maintaining electronic and physical claim files.
• Communication. Answer phone calls and emails from insureds agents witnesses and other parties involved in the claim providing updates on claim status and answering general inquiries.
• Correspondence. Preparing and sending letters emails and other correspondence related to claims. This could include requests for information reservation of rights letters or settlement offers.
• Reporting. Generating reports on claim activity such as open claims closed claims and reserve changes. Tracking key metrics and identifying trends.
• File Review. Reviewing claim files for completeness and accuracy. Ensuring all necessary documents are present and that information is correctly recorded.
• Support to Adjusters. Assisting claims adjusters with various tasks.
• System Updates. Maintaining accurate and up-to-date information in the claims management system.
• Other Administrative Tasks. Performing general administrative duties such as filing copying and ordering supplies. Any others as assigned.

Claims Handling (Workers Compensation Medical Only) :

Additional Responsibilities :

Required Skills / Abilities :

Education Licensing - Certifications - Experience :

Physical & Work Requirements :

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job the employee is regularly required to talk or hear. The employee is frequently required to stand walk sit use hands and fingers to grasp handle or feel and reach with hands and arms. The employee must occasionally lift and move up to 10 pounds. Specific vision abilities required by this job include close vision and distance vision.

The work environment for this position is normally a climate-controlled environment with moderate noise levels.

Safety Sensitive Position (Yes / No) : NO

Safety-sensitive positions are defined as jobs or positions where the employees holding these positions have the responsibility for their own safety or other peoples safety. It would be particularly dangerous if :

Such an employee is using drugs or alcohol while on the job. This could include legal or illegal controlled substances.

Employees are unable to provide their complete time and attention in performing the sensitive or hazardous tasks of the position.

Physical limitations of the job could result in injury or harm to employees or others.

DISCLAIMER

This Job Description indicates the general nature and level of work expected and does not imply a contract of employment. Employment is at-will. It is not designed to cover every activity duty or responsibility required of the employee. Management may at its discretion assign or reassign duties and responsibilities to this job at any time.

Required Experience :

IC

Key Skills

Load & Unload,Organizational skills,Financial Concepts,Fraud,Math,Mediation Experience,Pricing,Conflict Management,Workers' Compensation Law,Medicare,negotiation,Workers' Compensation

Employment Type : Full Time

Experience : years

Vacancy : 1