Blue Star - Medical Only Occupational Accident Claims Adjuster/Work Comp Paralegal or Legal Assistant/Work Comp Adjuster

At Blue Star, our expectation is that you:

* Investigate and adjust occupational accident claims in accordance with established claims handling procedures using Blue Star guidelines and supervision
* Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing occupational accident claims
* Authorize and make payment of occupational accident claims utilizing our claim processing protocol in accordance with policy language and within authority levels
* Process medically necessary and related bills according to Policy provisions
* Make supported and educated claim decisions timely
* Forecast potential exposure for reserving claims
* Have continued contact with policyholders
* Negotiate settlements, if appropriate pursuant to the terms of the policy and within authority levels
* Deliver quality claim service to clients and be responsive to client needs
* Familiarize yourself with jurisdiction challenges you may face and be mindful of potential exposure
* Manage your time efficiently and utilize your attention to detail to every claim you work on
* Use established forms and modify letters pursuant to Policy provisions
* Review and document medical records outlining treatment plan, restrictions and plan of action
* Able to identify mechanism of injury vs symptoms vs non-related conditions
* Policy review and administration of benefits pursuant to policy terms
* Manage claim to optimal resolution; paying for what we owe with relation to the policies we administer
* Establish valuable relationships with our Insureds / Motor Carriers / Brokers / Providers / Preferred Vendors
* Work as a team player
* Be flexible, use initiative and work with minimum of direct supervision
* Use discretion and confidentiality required
* Clearly communicate verbally and/or in writing both internally and externally
* Be organized, a self-starter and prioritize your duties with attention to detail
* Perform other duties as assigned

REQUIREMENTS:

* Highschool diploma or equivalent
* At least two years of experience in some manner of medical type claims, claims adjusting, paralegal or legal assistant.
* Microsoft Office experience
* Completion of our pre-employment assessment via the link below. https://www.ondemandassessment.com/link/index/JB-87PS9BLTA?u=93138

What We Offer:
• Competitive salary and potential performance-based bonuses
• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off and holidays
• Professional development opportunities
• A supportive, collaborative work environment

CASELOADS OF ADJUSTING PERSONNEL [Average]

Medical Only = up to 150