Senior Workers Compensation Claims Adjuster
Senior Workers Compensation Claims Adjuster
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Job Description
Position is 100% remote but prefers no one from EST. The closer to PST the better but doesnt have to be PST at all. Will need to work PST hours though)
Senior Workers Compensation Claims Adjuster with a minimum of five years of lost time claims experience handling California workers compensation cases. The ideal candidate will have a deep understanding of California workers compensation laws and regulations including thorough knowledge of the Labor Code case law and related statutes.
MUST COME FROM AN INSURANCE INDUSTRY BACKGROUND
THIS IS A MUST: Experience in Continuous trauma.
Must be certified in CA
Minimum of five years of lost time claims experience handling California workers compensation cases
Key Responsibilities:
- Manage and adjust complex lost time workers compensation claims from inception to closure ensuring compliance with state regulations.
- Conduct thorough investigations assess liability and make appropriate claims determinations.
- Coordinate medical care rehabilitation and returntowork strategies for injured employees.
- Handle settlement negotiations including preparing and presenting cases for hearings and trials if necessary.
- Work closely with internal legal counsel claims managers and thirdparty administrators (TPAs) to ensure claims are handled efficiently and in line with company policies.
Qualifications:
- Minimum of five years of experience handling lost time claims in California.
- Experience in Continuous trauma.
- Candidates will be working on old claims filling
- Proven ability to handle complex claims and maintain a high level of accuracy and detail.
- Strong negotiation skills with the ability to effectively resolve claims while minimizing costs.
- Familiarity with California state reporting requirements and the ability to manage claims within legal timelines.
- Excellent communication skills both verbal and written for interacting with claimants attorneys and healthcare providers.
- CA does not have licenses but person must be certified in CA
Employment Type
Full Time
