Member Login
Search

Please note the two positions for a Work Comp Claim Adjuster with our Members!

Colorado Springs School District 11
Work Comp Claim Adjuster

Contact Hank Hahne with any questions at (719) 520-2490.

Apply here: https://careers.d11.org/psc/careers/EMPLOYEE/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_SCHJOB_FL&Action=U   Then search under – claim adjuster.

Starting salary is $64,772 -- $70,111 per year based on experience. Possibly some wiggle room for senior adjuster experience by years, job tasks or title. 

Current open case load is 96 and is comprised of mainly med only claims and several indemnity claims (6).

Vacation is a generous 22 days, (or 176 hours) plus holidays.  Holidays included are:

  • Independence Day
  • Labor Day
  • Thanksgiving break – The whole week of Thanksgiving!
  • December 24 & 25
  • January 1 & 2
  • MLK Day
  • President’s Day
  • Memorial Day

City and County of Denver
Work Comp Claim Adjuster - Open until April 26

The City and County of Denver offers a competitive salary commensurate with education and experience. The salary range for this position is $60,669 - $100,104/year. We also offer generous benefits for full-time employees which includes but is not limited to:

  • A guaranteed life-long monthly pension, once vested after 5 years of service
  • 457B Retirement plan
  • 132 hours of PTO earned within first year + 11 paid holidays, 1 personal holiday and 1 volunteer day per year
  • Competitive medical, dental and vision plans effective within 1 month of start date

As a Workers’ Compensation (WC) Claims Adjuster, you will be responsible for managing an assigned caseload of workers’ compensation claims. Essential functions include contacting injured worker, employer, and all necessary parties to determine coverage, compensability, and benefits. The position will evaluate losses, set, and monitor reserves, issue benefits and negotiate settlements. As a WC Claims adjuster, you will interact with injured workers, the City Attorney's office, medical professionals as well as claimant's attorneys during the course of your investigation.

Specifically, a Workers’ Compensation Claims Adjuster regularly:

  • Investigates and confirms or denies coverage and compensability of claims presented through contact with claimant, insured and other involved parties
  • Reviews and makes appropriate decisions regarding medical bills presented, wage claims and other daily claims items to keep file up to date
  • Manages the medical aspects of assigned claims with a focus on return to work and end of
  • treatment
  • Refers appropriate files for task assignments to approved vendors for medical management,
  • special investigative needs, etc., within assigned authority.  Monitors status and quality of work performed
  • Make recommendations to the Worker’s Compensation Supervisor on claims issues which exceed personal authorization
  • Properly evaluates exposures on claims and takes appropriate reserving action in
  • accordance with company guidelines, applicable state requirements, and within designated
  • authority level
  • Negotiates claims to a conclusion, within assigned authority level
  • Effectively manages claims in litigation
  • Controls expenses on all worker’s compensation claims
  • Works with the Subrogation Analyst to maximize all recoveries on eligible claims

Our ideal candidate has some or all the following experience, skills, and characteristics:  

  • Previous experience with Risk Connect Risk Management Information System (formerly known as CS STARS)
  • Extensive knowledge of Colorado’s Workers’ Compensation Act, Rules of Procedure, and significant Workers’ Compensation caselaw
  • An ability to reprioritize work many times a day in response to new developments and communication on assigned WC claims
  • Claims handling involving self-insured and/or governmental entities
  • A “customer service” mindset for handling claims involving fellow employees of the City
  • Excellent communication skills for keeping various involved internal and external customers informed and updated regarding claims handling status and plans
  • Excellent writing skills for internal file documentation and external written communication

Minimum Qualifications

  • Education: Bachelor's Degree in Political Science, Public Administration, Accounting, Management, or a related field
  • Experience: Three (3) years of experience adjusting insurance claims in a specified area
  • Education & Experience Equivalency: One (1) year of the appropriate type and level of experience may be substituted for each required year of post high school education. Additional appropriate education may be substituted for the minimum experience requirements.
  • Licensure & Certification: Requires a valid Driver's License at the time of application. Licenses and certifications must be kept current as a condition of employment.

Apply here: https://denver.wd1.myworkdayjobs.com/en-US/CCD-denver-denvergov-CSC_Jobs-Civil_service_jobs-Police_Jobs-Fire_Jobs/details/Workers--Compensation-Claims-Adjuster---Risk-Management_R0066022