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Posted: 10/15/2026Occupational Accident Claims Adjuster – Work Comp Paralegal/Legal Assistant
Transtar Insurance Brokers, Inc.Core Competencies
Role fitUse this summary to align your resume positioning with the role.
Demonstrates expertise in investigating and adjusting occupational accident claims, ensuring compliance with established procedures and guidelines. Proficient in reviewing medical records and invoices, negotiating settlements, and maintaining effective communication with policyholders and stakeholders.
About the role
Key responsibilities & impact- Investigate and adjust assigned occupational accident claims according to established procedures, guidelines, supervision, policy language, and authority levels
- Review medical, legal, and miscellaneous invoices for reasonableness and relation to occupational accident claims
- Authorize and process medically necessary and related claim payments
- Make timely, supported claim decisions
- Forecast potential exposure for claim reserves
- Maintain continued contact with policyholders
- Negotiate settlements when appropriate
- Deliver quality claim service and respond to client needs
- Review jurisdictional challenges and potential exposure
- Manage time and caseloads efficiently
- Use established forms and modify letters according to policy provisions
- Review and document medical records, including treatment plans, restrictions, and action plans
- Identify mechanism of injury, symptoms, and unrelated conditions
- Review policies and administer benefits according to policy terms
- Manage claims to optimal resolution
- Establish relationships with insureds, motor carriers, brokers, providers, and preferred vendors
- Perform other duties as assigned
Requirements
What you’ll need- Highschool diploma or equivalent
- At least two years of experience in some manner of medical type claims, claims adjusting, paralegal or legal assistant
- Microsoft Office experience
- Completion of the pre-employment assessment
- Attention to detail and strong organizational skills
- Ability to work independently with minimum direct supervision
- Ability to communicate clearly verbally and in writing
- Ability to use discretion and maintain confidentiality
- Ability to work as a team player
- Flexibility and initiative
Benefits
Comp & perks- Competitive salary and potential performance-based bonuses
- Medical, dental, and vision insurance
- 401(k) with company match
- Paid time off and holidays
- Professional development opportunities
- A supportive, collaborative work environment
- Manageable caseloads
- Resources needed to perform the job
ATS Keywords
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