Claims Adjuster (Louisville, KY, Murfreesboro, TN and San Diego, CA)

Potential Work at Home Opportunities

Midwestern Insurance Alliance (MIA) is seeking full-time Claims Adjusters to join its workers’ compensation claims processing team in several  of our offices, to include Louisville, KY, Murfreesboro, TN, and San Diego, CA, as well as potential work at home opportunities.

Based in Louisville, KY, MIA is a program administrator offering custom-tailored workers’ compensation insurance programs through its carrier partners. MIA’s acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels.

Claims Adjuster responsibilities include

  • Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives.
  • Determining if claims are valid under applicable workers’ comp statutes.
  • Communicating with medical providers to develop and authorize appropriate treatment plans.
  • Reviewing and analyzing medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan.
  • Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes.
  • Assisting in estimating appropriate reserves for each claim.
  • Providing information as needed for litigation or settlement negotiations.

The ideal Claims Adjuster will have:

  • Some post-high school education.
  • At least 2 years’ workers’ comp claims adjusting experience.
  • Strong verbal and written communication skills.
  • Strong organizational skills with attention to details.
  • Ability to work with little supervision.
  • Ability to manage multiple tasks in a fast-paced environment.
  • Proficiency in MS Word, Excel, and Outlook.

MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and a Monday-Friday work week with daytime hours.

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