Ruan is now hiring a Work Comp Claims Adjuster to join our team
This is a hybrid role offering mix of on-site work at our downtown Des Moines campus and remote work
At least one year of Work Comp claims adjuster experience is required; 3+ years experience is preferred
This claims adjuster position works 100% on work comp claims
Schedule: Monday - Friday
Hours: 8:00A - 5:00P
Responsible for the analysis, investigation, evaluation, and resolution of workers compensation claims.
Responsibilities:
Carrying out the Companys organizational values and operating in accordance with applicable laws, regulations, and Company policies are required functions. Essential and other important responsibilities and duties may include, but are not limited to, the following:
- Investigate workers compensation claims. Interview or correspond with all parties.
- Determine if additional services are needed to bring the claim to resolution and provide appropriate referrals: environmental services, independent adjuster, nurse case manager, and legal counsel.
- Oversee the action of the third party administrator to ensure compliance with Ruans claim handling instructions.
- Recommend acceptance or denial of claim within authority.
- Oversee negotiations with claimant or injured worker for potential claim settlement within authority.
- If claim is contested, collaborate with internal and external legal counsel to defend Ruans position. Produce documentation to support Ruans position. May require participation in legal proceedings.
- Maintain file documentation and all required reports; including OSHA, DOT, and post-accident drug and alcohol testing.
- Monitor for appropriate claim reserves. Make recommendations for adjustments as necessary.
- Protect and pursue subrogation when appropriate.
- Perform other job-related duties and special projects as required.