Workers Compensation Claims Examiner III

Job Summary Workers Compensation Claims Examiner III TeemaGroup Full-time Hybrid | Philadelphia, PA, United States The Opportunity You’re the kind of person who is always looking to learn. You want to grow into something greater and you’re looking for an employer encourages and supports your professional development. This is the largest privately held Third party claims administrator in the US. Responsibilities • Adjuster will work hybrid • Effectively manages a caseload of 125 to 150 workers’ compensation files, including very complex claims. * • Jurisdiction is PA and NJ. * • Initiates and conducts investigation in a timely manner. * • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines. * • Manages medical treatment and medical billing, authorizing as appropriate. * • Refers cases to outside defense counsel. Directs and manages as appropriate. * • Communicates with claimants, providers