Workers' Comp Claims Adjuster I - Investigate & Settle

PRISM; San Diego (CA); Presencial; USD 77.000 - 93.000; Jornada completa

Descripción de la vacante

The City of San Diego is seeking a Workers' Compensation Claims Representative I to investigate, evaluate, adjust, and settle California workers' compensation claims. The role involves reviewing medical reports, managing claim reserves, processing medical bills, and coordinating with claimants, attorneys, and medical providers.

Minimum qualifications include one year of full-time professional experience investigating, adjusting, and settling CA workers' compensation claims and a valid Claims

Formación

• One year of full-time professional experience investigating, adjusting, and settling California workers' compensation claims.
• Valid Claims Adjuster, Experienced Claims Adjuster, or Medical-Only Claims Adjuster designation.

Responsabilidades

• Review medical reports to determine claim viability.
• Manage claim reserves and track expenditures.
• Process medical bills and reimburse providers.
• Coordinate with claimants, attorneys, and medical providers.

Descripción del empleo

The City of San Diego is seeking a Workers' Compensation Claims Representative I to investigate, evaluate, adjust, and settle California workers' compensation claims. The role involves reviewing medical reports, managing claim reserves, processing medical bills, and coordinating with claimants, attorneys, and medical providers.

Minimum qualifications include one year of full-time professional experience investigating, adjusting, and settling CA workers' compensation claims and a valid Claims