Workers Compensation Claims Adjuster | CA experience

Insurance Placement Solutions; Concord (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Remote Workers’ Compensation Claims Adjuster to join their dynamic claims team. In this role, you will leverage your extensive knowledge of workers' compensation to investigate and resolve claims efficiently. Your expertise will be crucial in ensuring timely administration of benefits while adhering to legal statutes and company guidelines. This position offers the opportunity to make a significant impact by collaborating with various stakeholders, including medical professionals and attorneys, to achieve favorable outcomes for injured workers. If you are passionate about helping others and have a strong background in claims adjusting, this role is perfect for you.

Qualifications

• 7+ years of experience in handling lost-time claims as a claims adjuster.
• Experience with California workers' compensation claims is essential.

Responsibilities

• Investigate and evaluate claims to determine eligibility for benefits.
• Administer indemnity and medical benefits for valid claims.
• Collaborate with medical and legal professionals throughout the claims process.

Skills

Investigation Skills

Claims Evaluation

Knowledge of Workers' Compensation

Communication Skills

Education

High School Diploma or Equivalent

Job description

Insurance Placement Solutions has an immediate opening for a Remote Worker’s Compensation Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer and resolve claims in a timely manner in accordance with legal statutes, policy provisions, and company guidelines.

Workers Compensation Lost Time Claims Adjuster Responsibilities

• Investigate claims as reported and determine injured worker’s eligibility for workers’ compensation benefits
• Administer indemnity and medical benefits for valid workers’ compensation claims
• Manage the progression of the claims process through collaboration with physicians, nurses, attorneys, and other parties as needed
• All file handling must be within state statutes, client’s claims handling guidelines, and best practices

Experience

• 7+ years of experience handling lost-time/indemnity claims as a workers’ compensation claims adjuster
• Must have previous experience handling California claims

Education

• A high school diploma or equivalent is required