Workers Compensation Claims Adjuster | CA experience

Insurance Placement Solutions; San Diego (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 team. In this role, you will leverage your extensive experience in handling lost-time claims to independently investigate, evaluate, and resolve claims effectively. You will ensure compliance with legal statutes and company guidelines while administering benefits to injured workers. This position offers the opportunity to work remotely while making a significant impact on the claims process, collaborating with various professionals to achieve positive outcomes for clients. If you are dedicated to excellence in claims management and have a passion for helping others, this role is perfect for you.

Qualifications

• 7+ years of experience as a workers' compensation claims adjuster.
• Knowledge of California claims handling is essential.

Responsibilities

• Investigate claims and 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

Legal 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
• Ensure all file handling is 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