Senior Oregon Workers Compensation Claims Adjuster

Salary90000
LocationPortland
Job type Permanent
DisciplineClaims TPA
Reference147034

Job description

Oregon Workers' Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Oregon Workers' Compensation Claims Adjuster to join a team. This is a fully remote position; The ideal candidate will have a strong background in managing Oregon workers' compensation claims, ensuring compliance with state statutes and administrative rules, and delivering exceptional customer service.

Compensation Package

  • Salary: $88,000 - $90,000 per year
  • Bonus: 5% annual target bonus
  • Benefits: Comprehensive medical benefits package, 401(k) with company match, and more

Responsibilities

  • Manage a caseload of 90-100 Oregon workers' compensation claims, ensuring compliance with state statutes and administrative rules.
  • Conduct thorough investigations, including recorded statements, wage calculations, compensability decisions, and reserve evaluations.
  • Coordinate medical treatment, return-to-work efforts, and vocational services as needed.
  • Maintain accurate and timely documentation throughout the life of each claim.
  • Collaborate with employers, attorneys, nurse case managers, and medical providers to achieve efficient claim outcomes.
  • Negotiate settlements and attend mediations or hearings when necessary.
  • Ensure all regulatory timeframes and reporting requirements are met, including 801/827 forms and 1502 filings.
  • Handle multiple accounts and manage some litigation cases.

Qualifications/Requirements

  • Minimum of 5 years of experience handling Oregon workers' compensation claims.
  • Experience handling claims in multiple jurisdictions is a plus; California experience is highly desirable.
  • Must reside in Oregon.
  • Strong knowledge of Oregon workers' compensation statutes and administrative rules.
  • Excellent communication, negotiation, and organizational skills.
  • Ability to work independently in a remote environment while managing a high-volume caseload.

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