Senior Workers Comp Claims Adjuster

Ruan is now hiring a Senior Work Comp Claims Adjuster to join our team!

This is a hybrid role offering a mix of on-site work at our downtown Des Moines campus and remote work.

At least 3-5 years' experience is preferred.

This claims adjuster position works 100% on workers compensation claims.

Responsible for the analysis, investigation, evaluation, and resolution of workers' compensation.

Responsibilities:

Carrying out the Company's organizational values and operating in accordance with applicable laws, regulations, and Company policies are required functions. Essential and other important responsibilities and duties may include, but are not limited to, the following:

• Investigate workers' compensation. Interview or correspond with all parties to the loss. Examine photographs, surveillance video, statements, medical records, and other supporting documents to determine damages. If necessary, consult with law enforcement to determine liability.
• Determine if additional services are needed to bring the claim to resolution and provide appropriate referrals: environmental services, independent adjuster, nurse case manager, and legal counsel.
• Oversee the action of the third party administrator to ensure compliance with Ruan's claim handling instructions.
• Recommend acceptance or denial of claim within authority.
• Oversee negotiations with claimant or injured worker for potential claim settlement within authority.
• If claim is contested, collaborate with internal and external legal counsel to defend Ruan's position. Produce documentation to support Ruan's position. May require participation in legal proceedings.
• Maintain file documentation and all required reports; including OSHA, DOT, and post-accident drug and alcohol testing.
• Monitor for appropriate claim reserves. Make recommendations for adjustments as necessary.
• Protect and pursue subrogation when appropriate.
• Perform other job-related duties and special projects as required.