Senior Workers' Compensation Claims Adjuster
New
C
CCMSIInsurance
United States, 8 am - 4:30pm PSTFull-TimeSenior
Salary92,000 USD per year
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Job Details
- Required Skills
- Microsoft OfficeNegotiation
Requirements
- California Workers' Compensation claims handling experience
- Self-Insured Administrator Certificate (SIP) required
- Strong understanding of California Workers' Compensation laws and regulations
- Experience handling litigated Workers' Compensation claims
- Experience managing claims from investigation through resolution
- Ability to independently manage a full caseload
- Strong reserve management and claim strategy skills
- Excellent verbal and written communication skills
- Strong negotiation and problem-solving abilities
- Ability to work independently in a remote environment
- Proficiency with Microsoft Office applications
- Reliable attendance during established business hours
Responsibilities
- Investigate, evaluate, and adjust California Workers' Compensation claims from assignment through resolution
- Manage indemnity and medical exposures while developing effective claim strategies
- Handle litigated claims and collaborate with defense counsel throughout the litigation process
- Determine compensability and establish appropriate reserves
- Coordinate medical treatment, return-to-work efforts, and vocational considerations when applicable
- Monitor claim activity and ensure timely file movement and diary management
- Evaluate settlement opportunities and negotiate claim resolutions within authority
- Communicate regularly with injured workers, employers, attorneys, medical providers, and clients
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