Medical Only Adjuster

About Us

Claims Administrative Services, Inc (CAS) has served as a third-party administrator handling workers' compensation and property and casualty claims for a wide array of clients since 1990. In addition to our claims experience, CAS offers safety and loss control, cost containment services, and program administration. Every day our experienced professionals are on the job, reducing the frequency and severity of workplace injuries, managing associated claims costs, and helping injured employees return to work. Our personalized customer service combined with dedicated experience, innovation, and cost efficiency, assists our clients in reducing costs and protecting their employees.

Structure and Ownership

Heartland Security Insurance Group is the holding company for Claims Administrative Services, Inc. Heartland is comprised of seven different insurance and risk management businesses, providing products and services globally. Each of the companies offer solutions to distinct client groups in the federal, state and private sectors. The organization has been under continuous private family ownership for 50 years. Today, it has over 60 stockholders as well as ESOP ownership. In addition to providing an important retirement benefit to associates, the Employee Stock Ownership Plan (ESOP) assures that everyone in the organization has a vested interest in providing the very highest level of service to the client.

Commitment to the Community

Claims Administrative Services, Inc., and the parent organization, Heartland Security Insurance Group, have a long history of philanthropy to the local, national, and international communities.

Medical Only Adjuster

Primary Responsibility

The Medical Only Adjuster will manage an assigned caseload of medical only Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. The Medical Only Adjuster is mentored and trained by a licensed adjuster and will interact with claimants, policyholders, and other third parties throughout the claims management process.

Essential Functions & Responsibilities

Participate in training and introduction to workers’ compensation claims.

Learn to read and interpret complex documents including regulations, statues, legal documents, investigative reports, medical records, medical bills, and claims notes.

Learn to use claims management software and other related software for claims handling and reporting.

Learn to make timely initial contacts and investigation of new claims.

Learn to determine compensability.

Learn to set reserves appropriately.

Learn to document files daily on every conversation and action taken.

Learn to request Peer Reviews as needed.

Learn to request jurisdictional forms timely and accurately.

Train in monitoring ongoing medical treatment.

Learn to work mail and diary on a daily basis.

Communicate with clients and medical providers.

Additional Functions & Responsibilities

Prepares reports and other analytical data as requested by the management team.

Assist others in the department with various duties or projects.

Required Qualifications

High school diploma.

At least one year experience in an office environment with an emphasis on customer service.

Meet the standards and requirements set forth by the state to secure an adjuster license within the designated time frame.

Preferred Qualifications

College degree in business or other related discipline.

Previous experience in insurance or medical office environment.

About Claims Administrative Services, Inc.

Claims Administrative Services, Inc (CAS) has served as a third-party administrator handling workers' compensation and property and casualty claims for a wide array of clients since 1990. In addition to our claims experience, CAS offers safety and loss control, cost containment services, and program administration. Every day our experienced professionals are on the job, reducing the frequency and severity of workplace injuries, managing associated claims costs, and helping injured employees return to work. Our personalized customer service combined with dedicated experience, innovation, and cost efficiency, assists our clients in reducing costs and protecting their employees. Heartland Security Insurance Group is the holding company for Claims Administrative Services, Inc. Heartland is comprised of seven different insurance and risk management businesses, providing products and services globally. The organization has been under continuous private family ownership for 50 years.