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 Job
If you’re passionate about helping people and enjoy a fast-paced environment where no two days are the same, the Prescient National Claims team could be the place for you! 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. Training is provided for continued growth and expanded knowledge and internal movement within the company is embraced, whether it’s trying your hand at a new skill or upward mobility within your area of expertise. You’ll be in an environment where colleagues work collaboratively, share a passion for delivering the best outcomes, and are empowered to share ideas on how we can enhance our services. Build a career in an EPIC atmosphere where teamwork, respect, and achievement live.
How You Will Make an Impact
• Review, examine, analyze, and investigate workers compensation claims in Midwest states such as MN, NE, SD, KS and IA
• 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
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Who You Are
• Must be located in Minnesota and hold an active state license. Experience handling claims in MN, NE, SD, KS, IA.
• Aptitude and willingness to gain a license in additional states
• 5+ years of insurance experience (workers’ compensation preferred)
• Bachelors degree preferred
• Ability to operate independently and effectively
• Strong interpersonal and organization skills
• Strong problem-solving ability
• Comfortable using internet/online based software
• Detail oriented
• Excellent written and oral communication skills
• Advanced skills in Microsoft Office products (Excel)
• Strong negotiation skills
Physical Demands
• Regularly talks throughout the day during both in person conversations and via telephone
• Regularly required to use hands and fingers to handle, feel, or operate objects or tools
• Regularly required to sit for up to 8 or more consecutive hours
• Occasionally lifts up to 10lbs
• Regularly walks through a multi-level office environment
• Regularly types using a computer keyboard for up to 8 hours per day
• Regularly uses a computer mouse for up to 8 hours per day
Work Environment
Remote Workplace: Enjoy the ability to work from home.
Schedule/Expected Hours of Work
The Lost Time Claims Adjuster will be expected to work Full Time. This schedule will include a minimum of a 37.5 hours per week Monday-Friday to fall between the hours of 7am and 6pm.
Other Duties
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Equal Opportunity Employer
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.