Worker's Compensation Claims Adjuster

SCHOOL DISTRICTS INSURANCE CONSORTIUM

POSITION DESCRIPTION

Position: Worker's Compensation Claims Adjuster Minimum of 3 years PA workers compensation claim handling. To Apply for this position, please email [email protected] with a resume and cover letter

POSITION SUMMARY: Independently investigate claim assignments utilizing the SDIC established requirements and policies. Determine strategy and plan of action to minimize exposure on the claim. Conclusions should be made based on all the facts of the claim investigation and applicable rules of law. Establish compensability of the accident and injuries. Determine appropriate reserves, within limits of personal authority, based on the facts of the claim. Render prompt claims service and establish best possible relationship with all persons involved.

ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE: Checking and maintaining statistical data required of Workers’ Compensation claimants. Work involves the on-line entry and retrieval of claimant data information. Must respond to requests for information from claimants, School District administrators and third party administrators. Maintain close attention to accuracy on all levels. Communicate with our school districts, excess carriers and medical providers on open claims to keep the lines of communication open. Prepare all state forms as required by the Pennsylvania Workers Compensation Act. Must have a working knowledge of WCAIS.

SPECIFIC JOB KNOWLEDGE, SKILLS AND EXPERIENCE: Must demonstrate a working knowledge of the Workers’ Compensation laws, practices and procedures, to efficiently and effectively handle claims to conclusion. Excellent oral and written communication skills, problem solving and analytical skills. Knowledge of the medical and legal terminologies for practical application in the workers’ compensation claim. Ability to operate a computer, to communicate effectively both orally and in writing. Develop effective working relationships with superiors, co-workers, claimants and School District administrators.

EDUCATION, TRAINING:

College degree or equivalent experience. Minimum of 3 years PA workers compensation claim handling.

SDIC offers a competitive compensation and benefits package including paid time off, health/life/disability insurance and pension/deferred compensation plans.

The statements contained in this document are intended to describe the general nature and level of work being performed. They are not intended to constitute a comprehensive list of functions and duties. Management retains the discretion to add or to change the duties of the position at any time.

SDIC is an Equal Opportunity Employer and a Drug-Free Workplace

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Lansdale, PA 19446