Job Description

Workers' Compensation Claims Adjuster

Job Summary

Looking for a dedicated and detail-oriented Workers' Compensation Claims Adjuster to join a claims department. This role involves managing workers' compensation claims from inception to resolution, ensuring compliance with statutory and regulatory guidelines while delivering excellent service to all stakeholders.

Compensation Package

• Salary Range: $75,000 - $105,000

Responsibilities

As a Workers' Compensation Claims Adjuster, your primary responsibilities will include:

• Managing workers' compensation claims from initiation to resolution.
• Investigating, documenting, and determining coverage and liability for industrial-accident and occupational-disease claims.
• Reviewing medical records and other documentation to manage the medical and disability aspects of claims.
• Collaborating with injured workers, policyholders, medical providers, vendors, attorneys, and other stakeholders.
• Ensuring injured workers receive appropriate benefits in compliance with statutory and regulatory guidelines.
• Working closely with the Workers' Compensation Appeals Board and judges as needed.

Qualifications/Requirements

The ideal candidate will possess the following qualifications:

• Thorough understanding of California Workers' Compensation laws, the Workers' Compensation Appeals Board, and established internal claims standards.
• Working knowledge of medical terminology.
• Exceptional communication skills, both written and verbal.
• Strong attention to detail, investigative abilities, and organizational skills.
• Excellent interpersonal skills to effectively collaborate with diverse stakeholders.
• Bilingual proficiency in Spanish and English is a plus.

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