CA Workers Compensation Adjuster

Questpro; United States; On-site; USD 55,104 - 68,880; Part time

Benefits offered by this job

Remote work

Job summary

Questpro in the United States is seeking a Sr. CA Workers' Compensation Adjuster for a temporary assignment through year end. The role offers 100% remote work and an hourly pay rate of $40-$50.

The position involves interpreting complex WC policies, managing investigative activities, reserving funds, coordinating with legal counsel, and reporting to clients and management. A Bachelor's degree and 4-8 years of claims experience are required, with WC adjuster licensure per jurisdiction.

Qualifications

• Bachelor's degree or equivalent experience.
• Technical claims investigations/settling experience with 4-8 years in Claims or similar organization.
• Workers Compensation (WC) Adjuster License required per jurisdiction.

Responsibilities

• Interprets and makes decisions on complex policy coverages for claims.
• Manages investigative activity on complex claims and directs strategy with counsel.
• Analyzes claims activity and prepares reports for clients and management.
• Establishes reserves and authorizes payments within authority; settles costs effectively.
• Develops subrogation opportunities and follows reclaim procedures.

Skills

Independent work

Written communication

Oral communication

Negotiation

Presentation skills

Analytical thinking

Project prioritization

Education

Bachelor's degree or equivalent

Job description

• Sr. CA Workers Compensation Adjuster
• Temp through year end
• $40-$50 hr
• 100% remote

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

• Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
• Analyzes claims activity and prepares reports for clients/carriers and management.
• Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
• Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. - Develops subrogation and third party recovery potential and follows reclaim procedures.
• Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.

Skills:

Ability to work independently while assimilating various technical subjects.

• Strong written and oral communication, negotiation and presentation skills.
• Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.

Education:

Bachelor's degree or equivalent experience.

• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.