Does an insurer that employs adjusters or medical bill reviewers need to complete the certification to the Insurance Commissioner each year?
Yes. The statute and regulations specify that all insurers must certify annually to the Insurance Commissioner that those individuals adjusting claims and medical bills on their behalf have met the minimum training or experience requirements established by the Commissioner through the Regulations. 10. What does an insurer, self-insured employer, or third-party administrator who employs claims adjusters or medical bill reviewers have to do to meet the workers’ compensation claims adjuster regulation requirements? Train their claims adjusters and medical bill reviewers according to the regulations. Make sure they are appropriately designated. Maintain the documentation of training and designation. Certify annually to the Commissioner by July 1st regarding their compliance with the Regulations.
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