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Public Adjuster Assistant Jobs in Raleigh, NC (NOW HIRING)

... adjusters, medical providers, managers to ensure coordination of appropriate care to medically ... and assist with return to work goals. ● Determine individual's fitness to return to duty.

Registered Nurse

Clayton, NC · On-site

$55 - $69/hr

Works closely with adjusters, medical providers, managers to ensure coordination of appropriate ... assist with return to work goals. * Determine individual's fitness to return to duty. Evaluate ...

New

... and assist with return to work goals. " " Determine individual's fitness to return to duty ... public health nursing. Incumbent must be licensed to practice nursing in the state of North ...

Public Adjuster Assistant information

What is a public adjuster assistant?

Public Adjuster Assistants support licensed public adjusters in handling insurance claims on behalf of policyholders. They help gather documentation, communicate with clients and insurance companies, and organize claim files. Their role is crucial in ensuring that the claim process runs smoothly and efficiently, allowing public adjusters to focus on negotiating settlements. Assistants may also research policy details and track claim status to keep all parties informed.

What are the key skills and qualifications needed to thrive as a public adjuster assistant?

To thrive as a Public Adjuster Assistant, you need strong organizational skills, attention to detail, and knowledge of insurance claims processes, typically supported by a high school diploma and relevant experience. Familiarity with claims management software, document management systems, and basic office tools like Microsoft Office is important. Excellent communication, customer service, and problem-solving abilities distinguish top performers in this role. These skills ensure accurate claim handling, support for public adjusters, and effective client communication during complex insurance processes.

What are some common challenges faced by public adjuster assistants in managing claims documentation?

Public Adjuster Assistants often encounter the challenge of organizing and maintaining detailed records for multiple claims simultaneously, which requires strong attention to detail and time management skills. Ensuring that all documentation, such as photos, estimates, and correspondences, is accurate and up-to-date is essential for supporting the public adjuster and expediting the claims process. Assistants must also be adept at communicating with clients, insurance companies, and contractors to gather necessary information, which can sometimes involve navigating complex or sensitive situations. Staying organized and proactive is key to overcoming these challenges and ensuring smooth claim resolution.

What is the difference between Public Adjuster Assistant vs Insurance Claims Processor?

AspectPublic Adjuster AssistantInsurance Claims Processor
Required CredentialsNone mandatory, some knowledge of insurance preferredNone required, may need basic insurance knowledge
Work EnvironmentOffice setting, assisting public adjusters with claimsOffice or remote, processing insurance claims
Employer & IndustryPublic adjusting firms, insurance companies, or independentInsurance companies, third-party administrators
Common Search/ComparisonYesNo

Public Adjuster Assistants support public adjusters by preparing documents, communicating with clients, and managing claim files. Insurance Claims Processors handle the administrative tasks of processing insurance claims within insurance companies. While both roles involve insurance claims, Public Adjuster Assistants work closely with public adjusters and clients, whereas Claims Processors work internally for insurers. The roles differ mainly in their responsibilities and work environment, but both require knowledge of insurance processes.

What are popular job titles related to Public Adjuster Assistant jobs in Raleigh, NC?

For Public Adjuster Assistant jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Public Adjuster Assistant jobs in Raleigh, NC look for?

The top searched job categories for Public Adjuster Assistant jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Public Adjuster Assistant jobs?

Cities near Raleigh, NC with the most Public Adjuster Assistant job openings:

Registered Nurse

Belcan

Clayton, NC

$45/hr

Full-time

Posted 14 days ago


Job description

Job Title: Return to Work Case Manager (RN)
Pay Rate: $45/hr.
Location: Clayton, NC
ZIP Code: 27520
Duration: 6 Months
Start Date: Right Away
Keywords: #INDP+ #ReturntoWorkCaseManagerjobs #Claytonjobs
Job Summary:
Provides medical case management services to Client's employees in US who are injured on the job and non-work related absences. The RN will use medical expertise combined with knowledge of the workers' compensation system to make sure that injured workers receive timely and appropriate medical treatment to promote early return to work and claims resolution. The nurse will facilitate communication and action among Client's management, insurance carriers, physicians, and injured workers.
Primary responsibilities:
● Responsible for assessment and coordination of medical care related to worker's compensation injuries; manages all accepted, routine los time claims.
● Works closely with adjusters, medical providers, managers to ensure coordination of appropriate care to medically rehabilitate individuals injured on the job and assist with return to work goals.
● Determine individual's fitness to return to duty. Evaluate return to work concerns from a physical capability and biological risk to human or product stand point. Work with management team to create an effective light duty.
● Develops case management plan through assessment, planning, implementation, and evaluation of patient' s progress. Evaluates patient's treatment plan for appropriateness and devises cost effective strategies for medical care.
● Maintains confidentiality of injured worker's medical, disability, and demographic information.
● Create medical records including: Employee Medical Files, Industrial Hygiene Monitoring Records, Workers Compensation carrier forms, disability records, medical surveillance records and logs and return to work notes.
● Conducts medical accommodation determinations for employees needing consideration in accordance with the Americans with Disability Act. Coordinates the interactive process that includes management, human resources.
● May provide occupational health services to plasma center locations throughout the US. Perform telephonic triage of injury events to determine the level of care needed for the injured worker.
● May provide nursing care for occupational and non-occupational injuries and illnesses via the following methods: symptomatic treatment, medical assessment, first aid, emergency transport, medical referrals, and appropriate follow-up and rehabilitation.
● Serve as a rotating on call staff member for all Client's US based operations.
● Builds strong relationship with Staff Nurse RN to integrate delivery of medical services to employees.
Education:
Bachelors of Science or Associate Degree from a registered nursing program.
State license(s) is/are also required.
Experience:
A minimum of 1 years (Bachelors) or 3 years (Associates) of related experience in worker's compensation case management, Occupational Health Nursing, medical assessment, emergency medical care, clinic work, and/or public health nursing.
Incumbent must be licensed to practice nursing in the state of North Carolina/California (dependent on location).
Extensive knowledge and understanding of the ADAA and the processes and procedures involved in the interactive process.
Certification via the American Board of Occupational Health Nursing COHN-S OR COHN is preferred. Certification in case management or related specialty is preferred.
Knowledge, Skills, and Abilities:
Incumbent knowledge should include an overall understanding of occupational health. Training in CPR, emergency first aid, immunology, ergonomics, and experience with OSHA requirements.
The Return to Work Case Manager RN 1 reports directly to the Clinical Nursing Supervisor or RTW Case Manager 3 or HMS Manager.
The RTW Case Manager RN consults with the HMS Manager and medical consultant physicians as needed, but is expected to make decisions based upon a combination of written directives, legal requirements, precedent, and previous experience.
The RN is regularly in contact with medical providers who are providing non-occupational and occupational medical care and rehabilitation for employees.
During these discussions the RN must know the employee's job, discuss work restrictions with the attending physician, and reach consensus with the physician about job placement.
This often requires restrictions of work.
These dialogues are sensitive and very important to the operation of the facility.
If you are interested in this role, please apply via the apply now link provided. Our overriding goal is to provide quality staffing solutions that help people, organizations, and communities succeed. Belcan is a leading provider of qualified personnel to many of the world's most respected enterprises. We offer excellent opportunities for contract, temporary, temp-to-hire, and direct assignments. We are the employer of choice for thousands worldwide. For more information, please visit our website at Belcan.com
Belcan is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.

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About Belcan

Sourced by ZipRecruiter

Belcan is a leading provider of qualified personnel to many of the world's most respected enterprises. We offer excellent opportunities for contract/temporary, temp-to-hire, and direct assignments in the engineering, IT, and professional fields. We are the employer of choice for thousands worldwide. Our overriding goal is to provide quality staffing solutions that help people, organizations, and communities succeed.

Industry

It services

Company size

5,001 - 10,000 Employees

Headquarters location

Cincinnati, OH, US

Year founded

1958