Sr. Workers Compensation Claims Adjuster - Pasadena, CA

The Jonus GroupPasadena, TX
Onsite

About The Position

Seeking a highly skilled and experienced Senior Workers' Compensation Claims Representative to join a team. This role involves managing Workers’ Compensation claims from inception to resolution, ensuring compliance with company standards and regulatory requirements. The ideal candidate will have a strong background in claims investigation, litigation management, and customer service, with a focus on delivering exceptional results.

Requirements

  • Minimum of 5 years of experience handling Workers’ Compensation claims, including lost time, serious injury, and litigated cases.
  • Strong knowledge of claims investigation, reserving principles, and negotiation techniques.
  • Licensed to handle California Workers’ Compensation claims.
  • Ability to manage multiple tasks and prioritize workload effectively.
  • Excellent judgment, decision-making, and communication skills.
  • Service-oriented mindset with a commitment to providing prompt and effective claims and customer service.
  • Willingness to travel as needed, including potential overnight stays.

Nice To Haves

  • SIP certification is a plus.
  • Experience in the construction, forestry, logging, or oil and gas industries is highly desirable.

Responsibilities

  • Manage a caseload of 100-125 Workers’ Compensation claims, including lost time, indemnity, med-pay, and subrogation cases.
  • Conduct thorough investigations, including obtaining statements, records, and other evidentiary materials.
  • Evaluate and set accurate reserves to reflect potential exposure.
  • Ensure compliance with regulatory and jurisdictional requirements across multiple states (CA, OR, WA, AZ, ID, NV).
  • Collaborate with defense counsel, independent adjusters, and other third parties to resolve claims effectively.
  • Provide proper documentation and reporting of all claims handling activities.
  • Maintain a high level of service to internal and external business partners.
  • Stay updated on industry regulations and best practices.

Benefits

  • Competitive benefits package
  • 401(k)
  • paid time off
  • professional development opportunities
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