Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution
Complete quality investigations by gathering pertinent information
Conduct thorough analysis of liability and continually assess exposure and evaluate for accurate reserves
Work toward the resolution of claims files and take full charge of claim from inception to resolution
Ensure that claims payments calculated accurately and are issued in a timely and accurate manner
Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies
Maintain a diary to follow claim progress on all claims
Determine liability for permanent disability, mitigation of costs and resolution of claim
Oversee litigation and coordination of claim with defense team

5 years plus experience handling workers’ compensation claims
Current California Adjuster Certification
Familiarity with state workers’ compensation laws and regulations
Strong skills in customer service, verbal and written communications, time management, and organizational skills
Excellent attention to detail
Ability to work independently
Strong knowledge of computers and software

Senior Lost Time Adjuster

Key skills