Blue Star - Medical Only Occupational Accident Claims Adjuster/Work Comp Paraleg

Blue Star Claims LLC is a Third-Party Administrator specializing in Occupational Accident Claims throughout the United States. This is an excellent opportunity to work in a growing and dynamic work environment. We believe in delivering a high-quality work product to our clients with emphasis on communication and service. We believe in providing an environment where employees enjoy coming to work every day, provide the resources needed to perform their job and assign manageable caseloads. The Occupational Accident Claims Adjuster is responsible for the investigation and adjustment of assigned Occupational Accident claims. At Blue Star, our expectation is that you: Investigate and adjust occupational accident claims in accordance with established claims handling procedures using Blue Star guidelines and supervision Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing occupational accident claims Authorize and make payment of occupational accident claims utilizing our claim processing protocol in accordance with policy language and within authority levels Process medically necessary and related bills according to Policy provisions Make supported and educated claim decisions timely Forecast potential exposure for reserving claims Have continued contact with policyholders Negotiate settlements, if appropriate pursuant to the terms of the policy and within authority levels Deliver quality claim service to clients and be responsive t