Workers’ Compensation Claims Representative (Adjuster)

Location: St. Paul, Minn., office with potential for hybrid work
Status: Full-time, exempt
Travel: Occasional travel throughout Minnesota
Starting Salary Range: $72,813 to $83,686 yearly based on qualifications and experience

Position Description

The workers’ compensation claims representative (adjuster) is key to helping MCIT carry out its mission of providing cost-effective coverage with comprehensive and quality risk management services to its members by efficiently and effectively adjusting workers’ compensation claims.

MCIT is a joint powers government entity made up of Minnesota counties and associated public entities that pool resources to provide property, liability, auto and workers’ compensation coverage to members. MCIT offers a collaborative work environment and excellent benefits, including a pension plan.

Core Responsibilities

Under the direction and supervision of the workers’ compensation claims manager, the workers’ compensation claims representative analyzes, investigates and maintains workers’ compensation claims within MCIT standards, policies and procedures; industry best practices; and specific member service requirements.

Typical Duties

The following are common duties of the workers’ compensation claims representative:

• Gather, analyze, investigate and document all information to determine the compensability of a claim
• Make timely and accurate compensability, wage loss, medical and rehabilitation benefits determinations
• Establish timely, accurate and appropriate reserves for the ultimate expected cost of all claims
• Monitor reserve adequacy/accuracy throughout the life of a claim
• Communicate claim activity in a timely manner to the claimant and the employer
• Participate in the litigation process by requesting defense counsel when appropriate, providing specific instructions and direction to defense counsel while controlling litigation activities within MCIT guidelines
• Perform bill review on all incoming bills for excess or duplicative charges, accuracy and mathematical errors
• Develop action plans and re-evaluate all claims on an ongoing basis, paying particular attention to claims requiring indemnity payments or permanency payments
• Evaluate claims for potential settlement, direct negotiations and settle claims within authorized limits

Required Qualifications

• A two-year degree from an accredited college or university in business administration, insurance or related field and two years of Minnesota workers’ compensation claims handling experience as a lost time adjuster; OR
• High school diploma and four years of Minnesota workers’ compensation claims handling experience

Preferred Qualifications

• A four-year degree from a college or university in business administration, insurance or related field or Associate in Claims designation
• Experience working in a paperless/electronic claims environment
• Experience with automated bill review and pharmacy benefit management programs

Desired Qualifications

• Familiarity with local government, service organizations or associations

Download the Workers’ Compensation Claims Representative Position Description for a full list of duties, responsibilities and requirements.