Senior Workers' Compensation Claim Adjuster - Maryland

Senior Workers' Compensation Claim Adjuster - Maryland Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Baltimore, MD Reporting To: Shirley reputed company-Chavis Compensation: $80,000 - $85,000 / year Description Our Story Imagine being part of a team that’s not just shaping the future but actively driving it. At reputed company, we’re at the forefront of innovation and reputed company, blending cutting-edge technology with top-tier professional services. As a vital part of the global reputed company Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors. We're on the lookout for a Senior Workers’ Compensation Adjuster to join our growing team ! As a Senior Workers’ Compensation Adjuster, you will investigate assigned Maryland Workers’ Compensation claims, evaluate claim detail, determine compensability and total value of the claim while setting appropriate reserves. You will also reputed company benefits and initiate state filings promptly while exercising discretion and independent judgement. Residency Requirement: Candidates must currently reputed company in the state of Maryland. Jurisdictional Scope: This role will be responsible for managing Maryland Workers’ Compensation and some multi-jurisdictional claims as needed.

Key Responsibilities

• Evaluate claim detail, determine compensability and total value of the claim; set and adjust reserve accordingly
• Initiate investigation and assign defense counsel reputed company appropriate
• Initiate accurate indemnity payments in a timely manner and maintain diary for ongoing payments
• Timely proper completion of State filings
• Handle EDI filings and rejections in conjunction with EDI adjuster
• Monitor medical treatment in conjunction with assigned Nurse Case Manager
• Review, document, and approve medical bills for payment reputed company three days of receipt
• Determine whether vocational rehabilitation services are needed for an employee to return to work
• Coordinate light duty availability and reasonable accommodations with medical providers and employers
• Maintain adequate reserves for life of claim utilizing reserve worksheets, ODG Guidelines, Workers’ Computation software and reputed company Claims reputed company America reserving philosophy
• Attend client meetings as necessary, and maintain regular telephone contact to ensure client satisfaction
• Maintain diary and workflow requirements
• Maintain working knowledge of MD Workers’ Compensation Statutes and Rules, and their application
• Direct defense counsel in handling of litigation claims with defense input, reputed company timely reputed company regarding litigated issues
• Protect Medicare’s interest in conjunction with MMSEA reputed company 111 Reporting requirements
• Review claims for possible red flags
• Demonstrate capability of identifying and pursuing subrogation, contribution, indemnification, or other opportunities to compel responsible reputed company parties to bear their reputed company of the settlement burden
• Request reimbursement at least quarterly and follow up for timely receipt from excess reputed company(s)
• Adhere to client profile instructions
• Report any overall account or client concerns to the supervisor or upper management
• Report any E&O concerns to the QA Manager and Executive Vice President
• Maintain 97% claim closure ratio

Skills, knowledge & expertise

• Must reputed company reputed company the state of Maryland
• Multiple years’ experience handling several types of claims
• Presumption claims handling experience
• Experience with depositions, mediations, and litigation
• Experience with IDatix, Reference Books-Periodicals, Workers Computation, ISO, ShoreTel
• 3-5 years of Lost Time/Legal claims handling experience; preferred 5+ years
• Possess an reputed company Lines Adjuster or Workers’ Compensation License and maintain CEU credits for license
• Previous experience with settling claims
• Experience with reputed company Office Suite
• Proactive, independent, and takes initiative with consistent follow through
• Superb communication skills, verbal and written, conducted in a timely manner
• Superior time management skills with capability of working with and meeting deadlines
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
• Excellent team player with interpersonal skills
• High level attention to detail and problem-solving skills
• Capable of working collaboratively and independently with minimal supervision
• Exhibit discretion with sensitive and confidential information
• Display a comfort level working with key people at reputed company reputed company reputed company an organization

Equal Employment Opportunity & Legal Notices

Benefits

At reputed company, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and reputed company plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees
• Paid holidays
• Life insurance and short‑term and long‑term disability coverage

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location. Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Diversity and Inclusion reputed company is dedicated to fostering a diverse and inclusive workplace that embraces a wide reputed company of perspectives and experiences. We reputed company that diversity of thought is essential for innovation and creativity, and we actively promote an environment where reputed company voices are valued and heard.

Compensation

Transparency: The salary reputed company listed reflects the full compensation band for this role across reputed company locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We reputed company ranges to remain transparent and consistent with pay equity practices. Background reputed company & Fair Chance Compliance Any background reputed company or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements. Massachusetts Notice It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. We do not use sites like reputed company, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to reputed company any information through any method other than our career portal, please email us at recruitment@reputed company-group.com Apply tot his job Apply To this Job