CA Workers Compensation Claims Adjuster

The Jonus Group • Lexington, KY

19d • $45 - $47 • Remote

About The Position

We are seeking a detail-oriented Workers Compensation Claims Adjuster to join our team. The successful candidate will be responsible for investigating, evaluating, and resolving workers' compensation claims in a timely and fair manner.

Requirements

• Proven experience as a Workers Compensation Claims Adjuster or similar role
• Proficiency in interpreting and applying workers' compensation laws and regulations
• Strong analytical and investigative skills
• Excellent communication and negotiation abilities
• Ability to work independently and manage multiple tasks with attention to detail
• Knowledge of insurance claim processing software systems
• Bachelor's degree in Business, Insurance, or related field (preferred)
• Valid Claims Adjuster license (where applicable)

Responsibilities

• Review and analyze workers' compensation claims to determine coverage and liability
• Conduct thorough investigations, including obtaining medical and employment records, interviewing claimants and witnesses, and collaborating with medical professionals
• Evaluate and negotiate settlements within established authority limits
• Communicate with internal and external stakeholders including claimants, employers, medical providers, and legal representatives
• Ensure compliance with all regulatory requirements and company policies
• Document claim activity and maintain accurate records
• Provide exceptional customer service and support to claimants throughout the claims process

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level