2 liability adjuster ii jobs found

Location: Remote Company: MEMIC – Trusted Workers’ Compensation Insurance Provider About MEMIC At MEMIC, our mission is to make workers’ compensation insurance better—through compassionate service, trusted partnerships, and an unwavering focus on workplace safety. Our core values— Be Conscientious, Be an Expert, Be a Partner, Be Curious, and Be Transparent —drive everything we do. For over 30 years, we’ve been a leader in helping businesses protect their employees and reduce workplace injuries while delivering exceptional claims services. Job Overview: Claim Specialist II or III NJ & PA Jurisdictions The Claim Specialist investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Conducts training classes (including research and position papers) for less experienced Claim Department Representatives. Based...

Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments of Short Term Disability (STD) claims.  The goal of the position/role is to consistently pay the accurate amount for each claim in accordance with the contract. Research Applies knowledge of disability products, policies and contracts. Interprets and applies contract/policy definitions of disability and relevant provisions, clauses, exclusions, riders and waivers as well as statutory requirements. Utilizes reference materials and tools regarding medical, vocational and disability issues to identify and evaluate claim information in a fair and objective manner. Efficient use of applicable disability claims system(s). Applies routine medical and technical claims skills, practices, and procedures. Utilizes most efficient means to obtain claim information. Analysis and Adjudication Fully investigates all relevant claim issues. Provides...