Workers Compensation Claims Adjuster | CA experience

Insurance Placement Solutions; Roseville (CA); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Remote Workers’ Compensation Claims Adjuster to join their dynamic claims team. In this pivotal role, you will leverage your extensive knowledge of workers' compensation to investigate, evaluate, and resolve claims effectively. Your expertise will ensure claims are handled in compliance with legal statutes and company guidelines. This position offers the opportunity to make a significant impact by administering benefits and collaborating with various stakeholders to achieve optimal outcomes for injured workers. If you have a passion for helping others and a strong background in claims adjusting, this role is perfect for you.

Qualifications

• 10+ years of experience in handling lost-time claims as a claims adjuster.
• Must have experience with California workers' compensation claims.

Responsibilities

• Investigate claims and determine eligibility for workers’ compensation benefits.
• Administer indemnity and medical benefits for valid claims.
• Collaborate with medical professionals and legal parties throughout the claims process.

Skills

Investigation Skills

Claims Evaluation

Legal Knowledge

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
• Ensure all file handling is 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