Claims Adjuster
Dartmouth College

Job Info

---

Posting date:

09/27/2024

Open Until Filled:

Yes

Position Number:

1129058

Position Title:

Claims Adjuster

Department this Position Reports to:

Risk Management and Insurance

Hiring Range Minimum:

$62,700

Hiring Range Maximum:

$78,300

Union Type:

Not a Union Position

SEIU Level:

Not an SEIU Position

FLSA Status:

Exempt

Employment Category:

Regular Full Time

Scheduled Months per Year:

12

Scheduled Hours per Week:

40

Schedule:

M-F 8:00AM-5:00PM

Location of Position:

Remote or Hanover, NH

Remote Work Eligibility?:

Remote eligible

Is this a term position?:

No

If yes, length of term in months.:

NA

Is this a grant funded position?:

No

Position Purpose:

The Claims Adjuster will support the administration of Dartmouth's insurance program through managing workers' compensation claims inclusive of lost time/indemnity; evaluate and resolve claims in a timely manner while ensuring compliance with statues, regulations and policy provisions.

Required Qualifications - Education and Yrs Exp:

Bachelors plus 3-5 years' experience or equivalent combination of education and experience

Required Qualifications - Skills, Knowledge and Abilities:

• Bachelor's Degree plus 3-5 years' experience or equivalent combination of education and work experience
• New Hampshire Workers Compensation Adjuster License
• Comprehensive knowledge of NH Workers' Compensation Statues and case law
• Exceptional Customer Service Skills
• Obtain and utilize sensitive information discreetly and objectively
• Demonstrates a commitment to diversity, inclusion, and cultural awareness through actions, interactions, and communications with others

Preferred Qualifications:

• Professional Licensure in multi-line Property and Casualty
• Professional Certifications (Associate in Claims; Senior Claim Law Associate, Chartered Professional Casualty Underwriter)

Department Contact for Recruitment Inquiries:

Kathleen Viveiros

Department Contact Phone Number:

603-646-1443

Department Contact for Cover Letter and Title:

Kathleen Viveiros

Department Contact's Phone Number:

Kathleen.Viveiros@dartmouth.edu

Equal Opportunity Employer:

Dartmouth College is an equal opportunity/affirmative action employer with a strong commitment to diversity and inclusion. We prohibit discrimination on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identity or expression, disability, veteran status, marital status, or any other legally protected status. Applications by members of all underrepresented groups are encouraged.

Background Check:

Employment in this position is contingent upon consent to and successful completion of a pre-employment background check, which may include a criminal background check, reference checks, verification of work history, conduct review, and verification of any required academic credentials, licenses, and/or certifications, with results acceptable to Dartmouth College. A criminal conviction will not automatically disqualify an applicant from employment. Background check information will be used in a confidential, non-discriminatory manner consistent with state and federal law.

Is driving a vehicle (e.g. Dartmouth vehicle or off road vehicle, rental car, personal car) an essential function of this job?:

Not an essential function

Special Instructions to Applicants:

Dartmouth College has a Tobacco-Free Policy. Smoking and the use of tobacco-based products (including smokeless tobacco) are prohibited in all facilities, grounds, vehicles or other areas owned, operated or occupied by Dartmouth College with no exceptions. For details, please see our policy. https://policies.dartmouth.edu/policy/tobacco-free-policy

Quick Link:

https://searchjobs.dartmouth.edu/postings/75867

Description:

Workers Compensation Claims Management

• Demonstrate technical proficiency through timely, consistent execution of claims management best practices
• Review all workers' compensation claims from initial report to resolution; ensuring all necessary information is collected for accurate processing in proprietary claims management system
• Request all wage and medical information when applicable
• Investigates and adjusts claims in a timely manner, as well as directs outside defence counsel, independent adjusters, experts, and other vendors in the claim-handling processes consistent with industry best practices
• Determine compensability and issue prompt payment or denial within the statutory requirements
• Recommends and sets reserves to ensure the reserves represent the probable ultimate payout based on documented file developments
• Complete and file all applicable state mandated forms.
• Communicate frequently with injured workers to maintain appropriate case management
• Collaboratively work with Dartmouth departmental supervisors to execute return to work strategies
• Routinely interacts with primary and excess insurance carriers
• Establish and implement pro-active action plans to facilitate case resolution inclusive of negotiating settlements within granted authority
• Review and process medical/vendor bills and issue timely payments consistent with payment protocols
• Attend hearing and appeals as required
• Determine potential subrogation and second injury fund recovery
• Keep abreast of jurisdictional requirements, applicable case law and insurance best practices
• Contribute and provide data for monthly Safety Meetings

Percentage Of Time:

95

Description:

Risk Management and Insurance

• Assist in managing other claims such as general liability, auto liability, and property to ensure a comprehensive approach to claims management
• Assist with general risk management activities related to the college's projects and operations
• Performs other related duties as assigned by manager or Director of Risk Management and Insurance

Percentage Of Time:

5

--:

Demonstrates a commitment to diversity, inclusion, and cultural awareness through actions, interactions, and communications with others.

--:

Performs other duties as assigned.

---