Workers Compensation Claims Adjuster – III
California, United States of America
Full Time
2 weeks ago
$85,000 - $98,000 USD
No Visa Sponsorship
About this role
Role Overview
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim
- Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability
- Assure that all assigned indemnity claims have an up to date plan of action
- Form a partnership with the medical case manager
- Initiate the referral to the SIU of cases with suspected fraud
- Review and approve all vocational rehabilitation plans
- Establish, monitor, and adjust monetary case reserves
- Review all medical bills for appropriateness prior to referral to InterMed
- Exhibit and maintain a courteous and helpful attitude and project a professional image
- Respond to telephone messages and inquiries within 24 hours of receipt
Requirements
- Bachelor's degree (B. A.) from four-year college or university
- At least seven years related experience and/or training
- A minimum of at least five years experience managing indemnity cases
- Requires a high degree of claims handling expertise
- Possess an SIP certificate
Benefits
- Comprehensive medical, dental, and vision benefits
- Company contributions to HSA and FSA plans
- Employer paid life and disability insurance
- 401(k) with company match
- Paid time off (PTO) and company paid holidays
- Learning and development opportunities that support real career advancement
- Employee assistance resources and a supportive culture that values balance and wellbeing