Job Description

About Us

Founded in 1884 as a mutual insurance association, Charles Taylor began under the leadership of coal merchant Charles Taylor, whose astute management set the stage for growth. Today, we are a global leader providing insurance services and technology solutions with a team of c.4,000 experts across 120+ countries on 6 continents.
Our unmatched depth of specialist expertise, from loss adjusters to forensic accountants, helps the global insurance market to address its challenges. Through our trusted partnerships model, we build long-term, personal relationships with clients based on trust and cooperation. Our powerful technology helps our clients improve their customers' experience from start to finish. Thanks to our global reach, our clients can access our services wherever they are in the world, whenever they need us.
Charles Taylor's Third-Party Administration (TPA) offers comprehensive claims management and managed care solutions. We deliver customized property and casualty (P&C) solutions for employers, municipalities, insurers, and mutuals with decades of expertise.
We are seeking a dynamic Adjuster with 5+ years of experience in Workers Compensation Claims in South Carolina to join our team. This is a remote position.

Position Summary

The Workers Compensation Claims Adjuster is responsible for managing all aspects of a State Act workers compensation claim which includes determining compensability, verifying coverage, administering disability and medical benefits, skillfully negotiating claim resolutions, troubleshooting and assisting injured employees, employers and medical/legal professionals with any service needs throughout the lifespan of a claim.

Essential Functions:

Receives newly reported claims Determines coverage under the State WC Act, and any exposure to LHWCA Maintains and updates claim notes throughout lifespan of claim Records claim information in electronic database Interviews claimants, insureds, medical professionals and witnesses to determine claim validity Communicates claim compensability decisions to claimant, employer and medical provider Sets appropriate reserves based on nature/extent of injury Calculates lost time wages, makes disability payments directly to claimants. Diaries future payments as appropriate Reports all mandatory claims data directly to State entities within required timeframes Orders independent medical examination as necessary and prepares all relevant documentation for physician review Maintains regular correspondence with claimants, insureds, clients, and nurse case manager to include claim updates, medical appointments, or issues with disability payments. Reviews and processes medical bills for additional discount opportunities Aggressively collaborates with claimants, clients and insureds to ensure early return-to-work is pursued. Works in partnership with legal counsel to warrant that insured's interests are protected on litigated claims. This includes providing all relevant claim documentation needed for defense counsel to successfully defend claim and evaluate ultimate claim exposure. Attend settlement conferences, mediations, and hearings on behalf of the insurance company Reviews and approves defense attorney bills within authority Works with underwriting to help provide relevant information on losses for renewal rates as well as Risk Management to identify trends. Also may interact with agents for insureds on losses Responds to State requests for health cost disputes, applications for hearings and penalty assessment letters Identifies subrogation potential and pursues recovery Leads claim reviews with clients as requested Carry out Ad Hoc duties and tasks that are allocated to you at the discretion of management and that are within your capabilities and within the scope of your post Demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, and Accountability and Collaboration

Knowledge, Skills and Abilities:

Proficiency in entire Microsoft Office suite Knowledge of relevant workers' compensation laws Strong grasp of medical terminology Familiarity with medical cases and how treatment typically progresses Excellent professional oral and written communication abilities Attention to detail and good organization skills Ability to negotiate issues and settlements Strong focus on customer service which includes timely response to requests/inquiries Ability to adapt to changing technologies and learn functionality of new equipment and systems Ability to establish and maintain effective working relationships with others

Required Education and Experience:

5+ year's experience handling SC Workers Compensation claims Must have experience in, and hold a current adjusters license to handle WC claims in SC Experience and an active license in NC and LA a plus High School education
Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.

Why Join Charles Taylor?

Charles Taylor prides itself on being a people-centric business. Our culture and values define who we are, what we stand for and how we behave. They guide how we work with our colleagues and our clients, today and in the future. By living our values every day when we come to work, we deliver better results for the world of insurance.
We strive to provide a positive working environment that offers opportunities for professional development and growth across all our business areas. This includes a structured onboarding process, job-specific skills development, online and in-person training, as well as study assistance for professional qualifications.

Our Values

Accountability (We take ownership and responsibility)

- We all have a role to play in Charles Taylor's growth and overall success.

Agility (We learn, evolve and adapt quickly)

- We anticipate, prepare for and adapt to change; it's how we stay competitive.

Care (We are compassionate and human)

- We are approachable and genuinely interested in others.

Collaboration (We are one)

- We are unique but united in our work.

Integrity (We do the right thing)

- At all times, we act with responsibility and respect.

Equal Opportunity Employer

At Charles Taylor, we are proud to be an Inclusive Employer. We foster an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital or family status, race, religion, sex or sexual orientation.
We recognize that Diversity, Equity and Inclusion is essential in enabling us to deliver better insurance outcomes and fulfilling our responsibilities to clients, colleagues, and the community. We proactively promote and celebrate differences and strive to create an environment where our people feel included and can reach.