Claims ADJUSTER

Workers' Compensation Claims Adjuster
Schedule: Monday Friday, 8:00 AM 5:00 PM
Location: Golden, CO

REQUIREMENTS

Experience

• Minimum 3 years of experience in workers' compensation claims adjusting.

Education

• High School diploma required.
• Additional college coursework equivalent to an Associate's Degree or higher preferred.

Certifications

• No certification required.
• ARM (Associate in Risk Management) preferred.
• ARM-P (Associate in Risk Management for Public Entities) preferred.

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of Colorado Division of Workers' Compensation (DOWC) regulations, required forms, and filing deadlines.
• Knowledge of insurance policies and fundamental workers' compensation coverage and compensability principles.
• Knowledge of medical and insurance terminology used in claims processing.
• Knowledge of administrative procedures and document preparation for claims litigation.
• Experience using Risk Management Information Systems (RMIS) for data entry, claims notes, and status reporting.
• Ability to gather and verify demographic information, contact information, and initial injury reports.
• Strong mathematical skills for calculating indemnity payments and monitoring claim reserves.
• Ability to coordinate IMEs, DIMEs, social media checks, and surveillance assignments.
• Strong customer service and communication skills when working with injured workers, HR, payroll, and management.
• Ability to identify complex issues and escalate them appropriately.
• Ability to maintain organized electronic and physical claim files.
• Ability to maintain confidentiality of sensitive medical and personal information.
• Strong analytical, organizational, problem-solving, and time-management skills.
• Ability to work effectively in a collaborative and changing environment.

PHYSICAL REQUIREMENTS

• Ability to focus on objects at varying distances and distinguish between colors, with corrective lenses if needed.
• Ability to perform tasks requiring manual dexterity, including operating computers and small office equipment.
• Basic mobility and ability to safely navigate the office environment.
• Ability to speak clearly, listen attentively, and communicate information accurately.
• May be required to give presentations to groups.

MENTAL REQUIREMENTS

• Ability to analyze complex situations, identify potential risks, and develop effective solutions.
• Ability to remain flexible in dynamic environments and adjust plans as requirements change.
• Ability to communicate and collaborate effectively with other teams.
• Ability to manage time and priorities while meeting deadlines.