This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves managing a caseload of workers' compensation claims. - Review new claims, gather information, and determine compensability - Conduct thorough investigations into the circumstances of workplace injuries - Obtain medical records and witness statements - Calculate and authorize indemnity benefits, including temporary total disability, permanent partial disability, and vocational rehabilitation benefits - Ensure compliance with state workers' compensation laws, regulations, and reporting requirements - Maintain accurate and detailed claim files, documenting all relevant information, communications, and decisions Qualifications - 3+ years of experience handling Workers Compensation/Indemnity Claims for MN, WI, NE, and IA - Must have experience handling litigated files - Strong knowledge of workers' compensation laws, regulations, and medical terminology - Excellent communication, negotiation, and customer service skills Benefits - $75,000-85,000/year - 4% annual bonus - Full medical benefits - 401(k) with employer match Company Description The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.

• Submit copay claims through appropriate channels and follow through to payment posting • Work closely with our Financial Navigation team to ensure accurate and timely processing of claims • Communicate with manufacturer copay programs and foundation copay programs to resolve any issues or discrepancies • Communicate effectively with customer’s revenue cycle department to resolve any issues or discrepancies • Maintain accurate records of all claims processed • Meet productivity and quality standards

• Review, process, and adjudicate GAP claims in accordance with company guidelines and contract terms • Communicate with customers, insurance carriers, dealerships, and third-party administrators to obtain required claim documentation, including settlement letters, payment histories, police reports, and loan information • Calculate GAP deficiencies and validate claim eligibility and payment amounts • Submit claims to GAP administrators and follow through to resolution • Monitor claim status and proactively follow up to ensure timely completion and payment • Update internal CRM systems with claim status, documentation, and detailed notes • Investigate and resolve discrepancies related to insurance settlements, loan balances, and claim eligibility • Provide professional customer service by responding to inquiries related to GAP claim status and outcomes • Identify trends and assist management in improving GAP claim workflows, recovery rates, and operational efficiency • Ensure compliance with company policies, audit requirements, and regulatory standards

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Claims Specialist typically assists the 3rd party Senior Claim Representatives with facilitating different aspects of 3rd party claim management, including: - Communication with customers and clients - Communication with repair facilities regarding repairs - Processing shop invoices for payment or payments being sent directly to customers - Setting up rental reservations and following up on existing open rentals - Working with the Senior Claims Specialists, Claims Supervisor, and Claims Manager to ensure client and customer parameters and expectations are consistently met by the team Essential Duties and Responsibilities include, but are not limited to, the following: - Answering claim calls and questions from clients, leadership, and office staff - Entering documentation including, but not limited to, claim notes, estimates, photos, and correspondence into claims management system - Coordinating/processing outgoing mail for the 3rd party claims team - Managing rental reservation and rental process within specific claims in accordance with client parameters and customer needs - Securing documentation on repairs and actively managing the repair process for clients and customers - Coordinating and balancing workload within a defined sub-team - Effectively communicating with clients, peers, and leadership through written, verbal, and in-person means - Other additional duties and responsibilities as requested by Claims Supervisor and/or Claims Manager Qualifications - Associate degree (A.A.) or equivalent from a two-year college or technical school - A minimum of two to four years related experience and/or training, or an equivalent combination of education and experience - Prior automotive, fleet management, claims management, or vehicle re-marketing experience strongly preferred Requirements - Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations - Ability to write and interpret reports, business correspondence, and procedure manuals - Ability to effectively present information and respond to questions from department, company, groups of managers, clients, and customers - Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals - Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages - Ability to use a computer to access e-mail and the internet - Basic skills in Windows and Microsoft Office - Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists - Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form - Ability