Workers’ Compensation Claims Adjuster Job at Alternative HR (Sioux Falls)

Workers Compensation Lost Time Senior Claim Examiner

We are currently seeking an experienced Workers Compensation Lost Time Senior Cl...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience handling workers compensation lost time claims required
Certification to manage California Workers Compensation claims required
Experience handling claims in CO, UT, NV, and AZ is a plus
Strong communication and analytical skills
Proficient in Microsoft Office and electronic claim systems
Familiarity with medical terminology and bill processing
Proven organizational and time management skills
Ability to manage multiple priorities and meet deadlines consistently
Commitment to high-quality work and service standards
Must obtain or maintain applicable state adjuster licenses as required

Job Responsibility

Manage all aspects of lost time workers compensation claims from initiation through closure
Conduct three-part investigations, including statements from insureds, claimants, and medical providers
Determine claim compensability based on investigation outcomes
Administer statutory medical and indemnity benefits timely and accurately
Communicate denials and updates to insureds, claimants, attorneys, and involved parties
Set and adjust reserves within authority, escalating when necessary
Collaborate with legal counsel on hearings and litigation matters
Direct vendors and medical case managers on return-to-work strategies
Comply with all state and regulatory reporting requirements
Refer appropriate claims for subrogation and maximize recovery efforts

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

New

Claims Adjuster - Workers' Compensation - Trainee

MAJOR DUTIES RESPONSIBILITIES: Duties may include but are not limited to: - Comp...

Location

United States , Chatsworth

Salary:

30.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

College graduate
Workers Compensation experience preferred
Strong customer orientation
Strong written and oral communication skills
Strong analytical and organizational ability
Strong PC experience
Typing skills of 35-45 wpm
Works well within a team environment
Believes in own judgment and acts to support or defend own choices
Committed to high standards of behavior and performance

Job Responsibility

Compensability investigations in regards to Workers Compensation claims
Handle new losses verifies accuracy of information
Deals with insureds clients and other customers
Complete claim investigation via phone and email to injured workers medical providers and employers
Handles jurisdictional notices payment of benefits scheduling medical appointments completion and filing of necessary forms
Review medical reports and information to determine compensability of claims
Work with Special Investigation Unit when necessary
Direct attorney representation to strategize case resolution
Handles other administrative duties for the team as assigned

What we offer

medical
vision
dental
life and disability insurance
eligible to enroll in company 401(k) plan

Workers' Compensation Claims Analyst

This job description indicates the general nature and level of work expected of ...

Location

United States , Oak Brook

Salary:

30.70 - 46.05 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Adjusters license for assigned jurisdiction as required by specific jurisdiction as applicable
Bachelor’s degree required or a combination of education and related experience
2-5+ years’ experience managing progressively difficult Workers Compensation lost time claims
Must possess analytical skills
Must be able to work with a sense of urgency and accuracy
Must be able to adhere to multiple state workers’ compensation rules, regulations, and laws
Must be able to complete appropriate contacts within 24 hours of assignment
Must be able to establish and maintain appropriate diary for follow-up
Must be able to evaluate and determine compensability of workers’ compensation claims within the statutory period for multiple jurisdictions
Must be able to be responsible for monitoring and controlling costs

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Workers Compensation Analyst

This position reports to the Workers’ Compensation Manager and plays a key role ...

Location

United States , Houston

Salary:

Not provided

Camden

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Business, Human Resources Management, or related field
Minimum 3 years in Human Resources with a strong emphasis on Workers’ Compensation administration
benefits experience preferred
Fluency in Spanish preferred
Workers' Compensation adjusters license in any of the following areas
TX, AZ, GA, FL, NC, CO, DC, MD, VA, TN - Preferred
Familiarity with Oracle Cloud HCM, Origami, Travelers eCARMA, and AbsenceSoft preferred
In-depth understanding of OSHA reporting requirements and state Workers’ Compensation laws
Strong analytical and problem-solving skills with ability to exercise discretion and independent judgment
Excellent communication skills (written, oral, and presentation) for interaction at all organizational levels

Job Responsibility

Act as a key resource within the Workers’ Compensation team, supporting the Manager in overseeing compliance, training and claims management processes
Manage day-to-day Workers’ Compensation activities, including claim reporting, documentation, and coordination with adjusters, clinics, and third-party administrators
Monitor claim progress and proactively identify issues, escalating complex matters to the Manager as needed
Prepare and maintain OSHA reporting, including annual OSHA 300A summaries, ensuring accuracy and timeliness
Analyze claim data and trends to provide insights and recommendations that support risk mitigation strategies
Manage safety site visits to Camden properties, conducted by third party insurer
Maintain and update clinic networks and ensure proper documentation for new locations
Partner with the Manager and cross-functional teams (Safety, Maintenance, HR) to support accident investigations and implement preventive measures
Ensure compliance with state Workers’ Compensation laws and OSHA requirements through accurate documentation and reporting
Participate in bi-annual claims review meetings, providing analytical input and supporting recommendations to leadership

Fulltime

Workers Compensation Analyst

This position reports to the Workers’ Compensation Manager and plays a key role ...

Location

United States , Houston

Salary:

Not provided

Camden

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Business, Human Resources Management, or related field
Minimum 3 years in Human Resources with a strong emphasis on Workers’ Compensation administration
benefits experience preferred
Fluency in Spanish preferred
Workers' Compensation adjusters license in any of the following areas
TX, AZ, GA, FL, NC, CO, DC, MD, VA, TN - Preferred
Familiarity with Oracle Cloud HCM, Origami, Travelers eCARMA, and AbsenceSoft preferred
In-depth understanding of OSHA reporting requirements and state Workers’ Compensation laws
Strong analytical and problem-solving skills with ability to exercise discretion and independent judgment
Excellent communication skills (written, oral, and presentation) for interaction at all organizational levels

Job Responsibility

Act as a key resource within the Workers’ Compensation team, supporting the Manager in overseeing compliance, training and claims management processes
Manage day-to-day Workers’ Compensation activities, including claim reporting, documentation, and coordination with adjusters, clinics, and third-party administrators
Monitor claim progress and proactively identify issues, escalating complex matters to the Manager as needed
Prepare and maintain OSHA reporting, including annual OSHA 300A summaries, ensuring accuracy and timeliness
Analyze claim data and trends to provide insights and recommendations that support risk mitigation strategies
Manage safety site visits to Camden properties, conducted by third party insurer
Maintain and update clinic networks and ensure proper documentation for new locations
Partner with the Manager and cross-functional teams (Safety, Maintenance, HR) to support accident investigations and implement preventive measures
Ensure compliance with state Workers’ Compensation laws and OSHA requirements through accurate documentation and reporting
Participate in bi-annual claims review meetings, providing analytical input and supporting recommendations to leadership

Fulltime

New

Claims Technician

We are seeking a qualified Claims Technician for our Workers’ Compensation depar...

Location

United States , Anderson

Salary:

19.00 - 26.00 USD / Hour

Sierra Pacific Industries

Expiration Date

March 04, 2026

Requirements

1 year of recent, progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Demonstrated ability to work independently and in a team environment
Communicate effectively, verbally and in writing, with internal and external parties

Job Responsibility

Provide administrative support for our Workers' Compensation Adjusters
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Prepare and submit various requests/responses, with supporting documentation, to the proper agency or vendor
Provide authorization for requested medical treatment or other services, when appropriate
Schedule appointments and communicate information to appropriate party/parties
Obtain medical, or other records, and route appropriately
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Sort incoming mail and documents, scan into document management system, evaluate and index documents to the appropriate claim file with pertinent notations

What we offer

We train and promote from within
Excellent low-cost health benefits
Retirement plan with employer-paid contributions
Paid vacation and 10 holidays
full Health Benefits Plan (including medical, dental, and vision) with low-cost premiums
a 401(k) with Company Match
additional Retirement Contributions
company-paid Life Insurance

Fulltime

Claims Technician

We are seeking a qualified Claims Technician for our Workers’ Compensation depar...

Location

United States , Anderson

Salary:

19.00 - 26.00 USD / Hour

Sierra Pacific Industries

Expiration Date

February 15, 2026

Requirements

1 year of recent, progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Demonstrated ability to work independently and in a team environment
Communicate effectively, verbally and in writing, with internal and external parties

Job Responsibility

Provide administrative support for our Workers' Compensation Adjusters
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Prepare and submit various requests/responses, with supporting documentation, to the proper agency or vendor
Provide authorization for requested medical treatment or other services, when appropriate
Schedule appointments and communicate information to appropriate party/parties
Obtain medical, or other records, and route appropriately
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Sort incoming mail and documents, scan into document management system, evaluate and index documents to the appropriate claim file with pertinent notations

What we offer

We train and promote from within
Excellent low-cost health benefits
Retirement plan with employer-paid contributions
Paid vacation and 10 holidays
full Health Benefits Plan (including medical, dental, and vision) with low-cost premiums
a 401(k) with Company Match
additional Retirement Contributions
company-paid Life Insurance

Fulltime

New

Insurance Claims Manager

The Claims Department Manager oversees daily operations of the claims function, ...

Location

United States , Burlington

Salary:

Not provided

NATIONAL OnDemand, Inc

Expiration Date

Until further notice

Requirements

Bachelor’s degree in business administration or a related field from an accredited institution
Minimum of four years of directly related experience in claims adjusting, investigations, litigation support, and/or risk management
Professional certification preferred, such as Certified Medical Insurance Specialist (CMIS), Certified Billing & Coding Specialist (CBCS), Associate in Claims (AIC), or associate in general insurance (AINS)
Experience in insurance or risk management, including hands-on responsibility for a variety of claims processes
Strong ability to professionally liaise with insurance carriers and external partners
Demonstrated ability to supervise and develop personnel in a fast-paced environment
Ability to work independently and collaboratively with stakeholders at all organizational levels
Proven ability to maintain confidentiality and handle sensitive information with discretion
Strong professional presence with the ability to represent the organization effectively
Must have reliable transportation and a valid driver’s license

Job Responsibility

Develop and maintain efficient processes and documentation for workers’ compensation and property & casualty claims, ensuring compliance with all applicable policies, procedures, and legislation
Serve as the primary liaison with external agencies, carriers, brokers, and regulatory bodies for claims administration and claimant management
In coordination with the Senior Director of EHS & Compliance, evaluate complex and high-value property and casualty claims to determine liability, damages, and exposure
Assist the Senior Director of EHS & Compliance and Legal in managing third-party claims, including negotiations and settlement
Review and evaluate all work-related accident reports for completeness, accuracy, and regulatory compliance analyze data as needed to identify trends or issues
Investigate, review, and resolve high-severity, complex, or disputed claims
Supervise, coach, and train claims specialists, providing guidance on technical claim matters and ensuring consistent application of claims processes
Determine the appropriateness and value of workers’ compensation claims conduct investigations to assess eligibility and ensure all legal and procedural requirements are met for timely and accurate claim processing
Provide expert advice and counsel to organizational leadership on the interpretation and application of workers’ compensation and property & casualty policies, regulations, and procedures
Coordinate with the organization’s insurance broker and providers to ensure accurate, timely reporting and efficient claims handling

What we offer

paid time off (PTO)
medical
dental
vision
short- and long-term disability
life insurance
Employee Assistance Program (EAP)
401(k)

Fulltime

Workers’ Compensation Claims Adjuster

Alternative HR

Location:
United States , Sioux Falls

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 20, 2026

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