Workers' Compensation Claims Adjuster

Posted 2024-11-14

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💎 Seniority level: Middle, minimum of four years

📍 Location: California

💸 Salary: 82390 - 105840 USD per year

🔍 Industry: Specialty insurance

🗣️ Languages: English

⏳ Experience: Minimum of four years

🪄 Skills: Communication SkillsCollaborationNegotiationTime ManagementDocumentation

Requirements:

Must have good business acumen, understanding how an insurance company operates and the impact on profitability.
Minimum of four years’ experience adjudicating indemnity workers' compensation claims in California.
Bachelor's degree from an accredited university or equivalent experience.
Licensed and able to obtain licenses in required jurisdictions.
Excellent communication and relationship-building skills.
Strong negotiation, evaluation, and strategic skills.
Effective time management and prioritization abilities.
Ability to work independently and exercise sound judgment.
Proficiency in MS Office Suite and other software.

Responsibilities:

Working under technical direction to adjudicate higher complexity workers' compensation indemnity claims.
Solving complex problems and understanding broader issues.
Reporting claims trends to senior management.
Investigating claims promptly and thoroughly.
Analyzing forms, policies, and client instructions for coverage determination.
Managing claims in litigation and ensuring financial outcomes.
Coordinating resources for case resolution.
Preparing documentation and reports.
Negotiating settlements.
Prioritizing workload and processing mail.

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Workers' Compensation Claims Adjuster

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