(Remote in California) Workers Compensation Claims Adjuster - Medical Only & Future Medical Claims
POSITION SUMMARY
Appropriately addresses all claims issues to include compensability, temporary disability, permanent disability, apportionment, contribution, subrogation, medical management, rehabilitation and litigation. Gathers information, determines compensability and resolves all claim issues consistent with statutory requirements and client specifications. With only general supervision, develops and carries out a plan of action for resolution of all claim issues, reports necessary information to excess carrier and risk bearer, and keeps clients well informed of all issues. Establishes claim reserves and works closely with employers, employees, medical providers and other outside providers to maximize a cost-effective case resolution.
QUALIFICATIONS:
- Knowledge of claims management techniques, including investigation, reserving, cost management and case resolution techniques
- Excellent interpersonal and communication skills (both verbal and written)
- Strong customer focus with highly developed sense of urgency and attention to detail
- Strong organizational skills to include time management, ability to manage multiple priorities and effective follow through
EDUCATION/CERTIFICATION:
- High school diploma (2-4 year college a plus)
- IEA Certification or equivalent training/work experience
EXPERIENCE REQUIRED:
- Workers Compensation Medical Only & Future Medical Claims Adjusting experience
- SIP Certification preferred
Job Type: Full-time
Pay: $60,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Parental leave
- Professional development assistance
- Referral program
- Relocation assistance
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- No nights
- No weekends
Work setting:
Experience:
- Workers Compensation Claims Adjusting: 1 year (Required)
Location:
Work Location: Remote