Claims Adjuster | Workers Compensation

LOD Staffing has openings for Claims Adjuster

 JOB SUMMARY

The Claims Adjuster is responsible for investigating, evaluating, reserving, negotiating, and settling property, casualty, or workers’ compensation claims in accordance with Best Practices and in compliance with all City, State, and Federal regulatory laws. This position promptly and equitably resolves claims to minimize SAWS’ liability and reduces overall claims costs.

ESSENTIAL FUNCTIONS

• Investigates all relevant facts and evaluates findings to determine coverage, negligence, and liability issues for each claim submitted to SAWS.

• Establishes appropriate reserves based on the estimated probable cost of the claim with the proper file documentation to explain the rationale behind the computation.

• Issues payments in a timely manner to claimants and vendors in accordance with all regulatory standards.

• Negotiates claim settlements for monetary recoveries for damages to SAWS’ assets.

• Documents claim file activities in accordance with established procedures.

• Prepares claims narrative report(s) for documentation purposes outlining the facts of the case, applying the applicable sections of the Texas Tort Claims Act and a recommendation on claim resolution.

• Communicates effectively, written and orally, with customers including, but not limited to claimants, witnesses, employees, attorneys, medical professionals, governmental entities, and contractors.

• Determines the value and extent of related damages and/or workers compensation injuries by verifying support documentation and reviewing medical bills.

• Performs other duties as assigned.

DECISION MAKING

• The Claims Adjuster receives general supervision.

MINIMUM REQUIREMENTS

• High School Diploma or GED.

• One year’s experience investigating, evaluating, reserving, negotiating, and settling claims. Experience should be in one or more of the following claims disciplines: workers’ compensation, casualty (auto & property), appraising, personal injury and/or subrogation.

• State of Texas Multi–Line Claims Adjusters License as required by TIC 4101 or the ability to acquire a license within six [6] months of hire.

• Valid Class "C" Texas Driver's License.

JOB DIMENSIONS

• Knowledge of general negligence principals and their application within governmental community in particular the Texas Tort Claims Act.

• Skill in using a computer and job related applications.

• Skill in using various Risk Management Information Systems to document claim activity and maintain claim diary system.

• Ability to analyze a proof of loss and/or property appraisal to determine actual cash value owed to claimants.

• Ability to maintain and submit accurate records within the required time periods.

• Ability to estimate time and materials needed for projects.

• Ability to maintain confidential information.

• Ability to perform all the physical requirements of the position.

• Ability to communicate clearly and effectively, both verbally and in writing.

• Ability to establish and maintain effective working relationships with staff, management, property owners, vendors, and governmental agencies.

PHYSICAL DEMANDS AND WORKING CONDITIONS

Physical requirements include lifting up to 20 pounds occasionally. Subject to sitting for long periods of time to perform job scope. Occasionally subject to standing, walking and climbing. Requires visual acuity, speech and hearing. Working conditions are primarily in an office environment, with occasional field visits requiring operation of company/personal vehicle.

May be required to work hours other than regular schedule such as days, nights, weekends, holidays, and flexible work schedule.

Company Description

Labor On Demand, Inc. d.b.a. LOD Staffing is a knowledgeable and passionate employment agency servicing the Austin and San Antonio metropolitan area. For nearly two decades, we have strived to bring the right people together with the right jobs. Whether it is an opportunity for a new career, seasonal work, or a part-time gig to provide extra income, we take extraordinary pride in matching you with a position that satisfies your employment needs. Join our team today and let us help you find your next exciting career opportunity. We look forward to meeting you!

EEO Statement

Employees of Labor on Demand Inc. are protected by federal laws, Presidential Executive Orders, and other laws designed to protect employees from discrimination on the basis of race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or any other non-merit-based factor. These protections extend to all management practices and decisions, including recruitment and hiring practices, appraisal systems, promotions, and training and career development programs.

Employees of Labor on Demand Inc. are also protected against retaliation. Consistent with federal laws, acts of retaliation against an employee who engages in a protected activity whistle blowing, or the exercise of any appeal or grievance right provided by law will not be tolerated. Managers and supervisors of Labor on Demand Inc. are also reminded of their responsibility to prevent, document, and promptly correct harassing conduct in the workplace.