Workers Compensation Claims Adjuster II

The Jonus Group•Glendale, CA

1d•$80,000 - $98,000

About The Position

Workers’ Compensation Claims Adjuster Job Summary Seeking an experienced and detail-oriented Workers’ Compensation Claims Adjuster to manage indemnity claims from initial report through resolution. This role requires a strong understanding of workers’ compensation laws and regulations, the ability to evaluate complex claims, and a commitment to timely, compliant, and customer-focused claim handling. Responsibilities include investigation, documentation, collaboration with vendors and medical partners, and proactive claim resolution.

Requirements

3 – 5+ years of workers’ compensation claims handling experience
Demonstrated experience managing indemnity claims
Familiarity with applicable workers’ compensation regulations and procedures
Experience with 4850 claims handling or SIP exposure
Strong organizational, analytical, and communication skills

Responsibilities

Conduct three-point contact on all new losses within required timeframes, including outreach to the claimant, employer, and treating physician
Investigate claims thoroughly to establish compensability, disability status, and treatment plans
Maintain accurate and timely documentation of all claim activity, medical updates, and expense payments
Develop and maintain an up-to-date action plan for each assigned indemnity claim to drive timely resolution
Partner with medical case management to support early return-to-work initiatives and minimize extended disability exposure
Coordinate the use of vendors as needed to support claim investigation and resolution
Identify and refer suspected fraudulent claims to the appropriate special investigations unit
Ensure compliance with applicable workers’ compensation laws, regulations, and internal guidelines