Midwestern Insurance Alliance (MIA) is seeking full-time Claims Adjusters to join its workers’ compensation claims processing team in several of our offices, to include Louisville, KY, Murfreesboro, TN, and San Diego, CA, as well as potential work at home opportunities.
Based
in Louisville, KY, MIA is a program administrator offering
custom-tailored workers’ compensation insurance programs through its
carrier partners. MIA’s acquisition by San Diego-based K2 Insurance
Services in 2012 has enabled MIA to expand its product offerings and
product distribution channels.
Claims Adjuster responsibilities include
- Thoroughly
investigating workers’ compensation claims by contacting injured
workers, medical providers, and employer representatives.
- Determining if claims are valid under applicable workers’ comp statutes.
- Communicating with medical providers to develop and authorize appropriate treatment plans.
- Reviewing
and analyzing medical bills to confirm charges and treatment are
workers’ comp injury-related and in accordance with the treatment plan.
- Ensuring
payments for medical bills and income replacement are remitted on a
timely basis in accordance with applicable fee schedules and statutes.
- Assisting in estimating appropriate reserves for each claim.
- Providing information as needed for litigation or settlement negotiations.
The ideal Claims Adjuster will have:
- Some post-high school education.
- At least 2 years’ workers’ comp claims adjusting experience.
- Strong verbal and written communication skills.
- Strong organizational skills with attention to details.
- Ability to work with little supervision.
- Ability to manage multiple tasks in a fast-paced environment.
- Proficiency in MS Word, Excel, and Outlook.
MIA
offers the opportunity to join an established company in growth mode.
Our benefits package includes medical, dental, vision, disability, and
life insurance and 401(k) with employer match. We also offer a business
casual work environment and a Monday-Friday work week with daytime
hours.