Top Benefits
About the role
Charles Taylor is a nationwide and global provider of risk management solutions for all property and casualty markets, including commercial property, workers’ compensation, and liability markets. We offer complex loss adjusting, technical services, third-party administration, and managed care programs. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.
We are seeking an experienced Maritime Claims Adjuster for our team. This is a remote role for the CST zone.
Job Summary
The Maritime Claims Adjuster is responsible for managing all aspects of a crew claim which includes determining compensability, verifying coverage, administering maintenance and cure skillfully negotiating claim resolutions, troubleshooting and assisting injured employees, employers and medical/legal professionals with any service needs throughout the lifespan of a claim.
Essential Functions
- Receives newly reported claims
- Maintains and updates claim notes and documents throughout lifespan of claim
- Records claim information in electronic database
- Interviews claimants, insureds, medical professionals and witnesses to determine claim validity
- Communicates claim compensability decisions to claimant, employer and medical provider
- Sets appropriate reserves based on nature/extent of injury
- Calculates maintenance payments for claimants. Diaries future payments as appropriate
- Maintains regular correspondence with claimants, insureds, to include claim updates, medical appointments, or issues with disability payments.
- Reviews and processes medical bills through internal vendor for additional discount opportunities
- Aggressively collaborates with claimants and insureds to ensure early return-to-work is pursued.
- Works in partnership with legal counsel to warrant that insured’s interests are protected on litigated claims. This includes providing all relevant claim documentation needed for defense counsel to successfully defend claim and evaluate ultimate claim exposure.
- Reviews and approves defense attorney bills within authority
- Leads claim reviews with clients as requested
- Other duties as assigned
Knowledge, Skills, and Abilities
- Proficiency in entire Microsoft Office suite
- Knowledge of Federal Jones Act laws
- Strong grasp of medical terminology
- Familiarity with medical cases and how treatment typically progresses
- Excellent oral and written communication abilities
- Attention to detail and good organization skills
- Ability to negotiate issues and settlements
- Strong focus on customer service which includes timely response to requests/inquiries
- Ability to adapt to changing technologies and learn functionality of new equipment and systems
- Ability to establish and maintain effective working relationships with others
Required Education and Experience
- 3-5 years of previous Jones Act claims adjusting experience
- High School education
Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.
Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.
Equal Opportunity Employer
Here at Charles Taylor, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.
Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.
About Charles Taylor
Charles Taylor provides an unrivalled and growing range of insurance services, claims and technology solutions across the globe, with a specialism in complex situations requiring distinctive technical expertise and technology. We aim to build long-term client relationships spanning multiple value-creating solutions, and to consistently delight our clients with the quality and responsiveness of our people and delivery.
We have 3,000+ experts based around the globe in more than 120 locations spread across 30 countries in the UK & Europe, the Americas, Asia Pacific, the Middle East and Africa.
Visit our website for more information.
Top Benefits
About the role
Charles Taylor is a nationwide and global provider of risk management solutions for all property and casualty markets, including commercial property, workers’ compensation, and liability markets. We offer complex loss adjusting, technical services, third-party administration, and managed care programs. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.
We are seeking an experienced Maritime Claims Adjuster for our team. This is a remote role for the CST zone.
Job Summary
The Maritime Claims Adjuster is responsible for managing all aspects of a crew claim which includes determining compensability, verifying coverage, administering maintenance and cure skillfully negotiating claim resolutions, troubleshooting and assisting injured employees, employers and medical/legal professionals with any service needs throughout the lifespan of a claim.
Essential Functions
- Receives newly reported claims
- Maintains and updates claim notes and documents throughout lifespan of claim
- Records claim information in electronic database
- Interviews claimants, insureds, medical professionals and witnesses to determine claim validity
- Communicates claim compensability decisions to claimant, employer and medical provider
- Sets appropriate reserves based on nature/extent of injury
- Calculates maintenance payments for claimants. Diaries future payments as appropriate
- Maintains regular correspondence with claimants, insureds, to include claim updates, medical appointments, or issues with disability payments.
- Reviews and processes medical bills through internal vendor for additional discount opportunities
- Aggressively collaborates with claimants and insureds to ensure early return-to-work is pursued.
- Works in partnership with legal counsel to warrant that insured’s interests are protected on litigated claims. This includes providing all relevant claim documentation needed for defense counsel to successfully defend claim and evaluate ultimate claim exposure.
- Reviews and approves defense attorney bills within authority
- Leads claim reviews with clients as requested
- Other duties as assigned
Knowledge, Skills, and Abilities
- Proficiency in entire Microsoft Office suite
- Knowledge of Federal Jones Act laws
- Strong grasp of medical terminology
- Familiarity with medical cases and how treatment typically progresses
- Excellent oral and written communication abilities
- Attention to detail and good organization skills
- Ability to negotiate issues and settlements
- Strong focus on customer service which includes timely response to requests/inquiries
- Ability to adapt to changing technologies and learn functionality of new equipment and systems
- Ability to establish and maintain effective working relationships with others
Required Education and Experience
- 3-5 years of previous Jones Act claims adjusting experience
- High School education
Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.
Values
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.
Equal Opportunity Employer
Here at Charles Taylor, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.
Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.
About Charles Taylor
Charles Taylor provides an unrivalled and growing range of insurance services, claims and technology solutions across the globe, with a specialism in complex situations requiring distinctive technical expertise and technology. We aim to build long-term client relationships spanning multiple value-creating solutions, and to consistently delight our clients with the quality and responsiveness of our people and delivery.
We have 3,000+ experts based around the globe in more than 120 locations spread across 30 countries in the UK & Europe, the Americas, Asia Pacific, the Middle East and Africa.
Visit our website for more information.