Prescient National®

Compensation

Full Description

WHO WE ARE: Prescient National is an AM Best A (Excellent) rated Workers' Compensation insurance company offering national coverage. We provide innovative insurance products and effective loss reduction strategies, tailored to meet both current and future challenges. Our solutions include Guaranteed Cost Policies, Deductible Policies, Retrospective Rating Policies, Excess/Self Insurance, and Captive Options, all designed to align with each employer's unique risk profile and appetite. By leveraging deep analytics and fostering strong relationships with stakeholders, we deliver unparalleled service and creative solutions that distinguish us in the industry. ABOUT THE ROLE: This Lost Time Claims Adjuster role offers an exciting opportunity to make a direct impact by managing and resolving claims efficiently while ensuring compliance with state-specific regulations. You’ll have the chance to investigate claims, communicate with injured workers, coordinate medical treatments, and work closely with legal counsel and medical providers to drive successful outcomes. With a focus on analytical decision-making, negotiation, and customer service, this role allows you to blend technical expertise with strategic problem-solving. If you're looking for a role where you can take ownership, contribute to fair and effective claim resolutions, and be part of a collaborative, mission-driven team, this is the perfect opportunity. HOW YOU WILL MAKE AN IMPACT: • Review, examine, analyze and investigate workers compensation claims • Adjust claims according to state specific statutes and regulations • Communicate with injured workers to educate them on the workers compensation process and requirements • Establish claim reserves • Prepare and issue mandated requirements and documents • Coordinate medical treatment for injured workers • Identify cases with subrogation potential and pursue reimbursement • Act as a liaison between the injured worker, legal counsel and medical providers • Review and interpret medical reports • Attend hearings, trials and claim reviews • Process indemnity payments • Audit and approve charges related to a workers compensation claim file • Manage litigation and settlements on a claim file • Maintain appropriate licenses and certifications • Perform other duties or special projects as assigned • Participate in departmental, company and team meetings as needed WHO YOU ARE: • Minimum 5 years of insurance experience- (preferable experience in working claims in Texas) • 5+ years of workers compensation insurance experience • Bachelor's degree in related field preferred • State issued Adjuster’s license (Texas) with a willingness to gain a license in additional states • Ability to operate independently and effectively • Strong interpersonal and organization skills • Strong problem-solving ability • Comfort using internet/online based software • Detail oriented • Excellent written and oral communication skills • Advanced skills in Microsoft Office products (Excel skills) • Strong negotiation skills BENEFITS: • Remote Workplace: Enjoy the ability to work from home or hybrid if you live close to our Charlotte, NC office! • Competitive Salary & Growth: Join a team that thrives on leadership, initiative, creativity, and passion, with a salary that matches your drive. • Time off & Holidays: Generous PTO structure + 13 paid holidays to recharge and relax • Health & Wellness: We reimburse up to $25 a month for gym memberships • 401(k) Savings: We match up to 6% of your contribution • Excellent Health Benefits: Vision + Dental are 100% covered by Prescient and we contribute 85% of medical coverage premiums • FSA Healthcare and Dependent Care: Flexible Spending Accounts to support your healthcare needs. • Employee referral bonuses, Tuition assistance & MORE! We are an equal-opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.