Job Description
About the Role:
Our client, a leading national insurance carrier, is seeking an experienced Workers' Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers' compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.
Compensation:
Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
#LI-MW1
About the Role:
Our client, a leading national insurance carrier, is seeking an experienced Workers' Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers' compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.
Compensation:
- $45 - $50/hr. (based on experience)
- Annual target bonus
- Opportunity to work with a reputable insurance carrier known for a collaborative and supportive culture
- Comprehensive benefits package including medical, dental, vision, 401(k), and PTO.
- Opportunities for career growth within a stable and respected insurance organization.
- Investigate, evaluate, and resolve workers' compensation claims in accordance with applicable laws and company policies.
- Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
- Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
- Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
- Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
- Stay current on jurisdictional laws, medical treatment trends, and best practices in workers' compensation claims handling.
- 5+ years of experience handling CA workers' compensation claims for an insurance carrier or TPA.
- Strong knowledge of state workers' compensation statutes and regulations.
- Excellent communication, negotiation, and analytical skills.
- Ability to manage a high-volume caseload effectively and independently.
- SIP required
Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.
#LI-MW1
CA Workers Compensation Claims Adjuster - Remote/Temp in Remote at Unknown Company
This position is listed as full time and onsite.