Workers Compensation Claims Adjuster | CA experience

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

Job summary

An established industry player is seeking a Remote Worker’s Compensation Claims Adjuster to join their dynamic claims team. In this pivotal role, you will leverage your extensive knowledge of workers' compensation to independently investigate, evaluate, and resolve claims. Your expertise will ensure timely administration of claims, adhering to legal statutes and company guidelines. This position offers a unique opportunity to make a significant impact in the lives of injured workers while collaborating with a diverse group of professionals. If you have a passion for helping others and possess the necessary experience, this role is perfect for you.

Qualifications

• 10+ years of experience in handling lost-time/indemnity claims.
• Must have experience with California claims.

Responsibilities

• Investigate claims and determine eligibility for benefits.
• Administer indemnity and medical benefits for valid claims.
• Collaborate with medical and legal professionals as needed.

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

• 10+ 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