Adjuster II​/III, Workers

Adjuster II / III, Workers' Compensation –
General Dynamics – Bath Iron Works

The position provides WC claims adjusting in support of BIW’s self‑insured WC program, guiding injured employees, managing a book of claims, reviewing compensability, and filing required state and federal forms.

• Review open claims regularly and document medical management with internal and external providers.
• Evaluate claim exposure, establish case reserves, negotiate, and resolve claims; work with defense counsel on litigated cases and attend mediation and hearings.
• Approve medical invoices in accordance with treatment plans.
• Analyze compliance reports and provide feedback.
• Assist in internal and external financial and claim audits.
• Prepare and back up internal and external reporting, including quarterly CMS reconciliation reports.
• Provide assistance and back‑up for other reporting duties as required.
• Keep up to date on State and Federal laws and Medicare reporting requirements.
• Educate employees and supervisors on WC claim responsibilities.
• Collaborate with Medical, Operations, HR, Labor Relations and other functions to promote early return‑to‑work.
• Participate in process improvement and change‑management activities within the department.
• Interact with State and Federal agencies to provide claim data and answer questions.

• Bachelor’s Degree in Business Administration or equivalent education and experience.
• At least 2 years’ experience with casualty claims management; experience in Workers' Compensation claims administration preferred.
• Advanced knowledge of MS Office.
• Experience in process improvement and/or change management a plus.
• Experience with People Soft, WFM, and ATS Claim System a plus.
• Knowledge of Federal and State regulatory compliance requirements a plus.
• Strong organizational, interpersonal, and communication skills; self‑motivated and team‑oriented.
• High attention to detail and ability to maintain confidentiality of highly sensitive information.
• Must obtain adjuster license within one year of hire.