Workers Compensation Claims Adjuster - AZ, CA
The Jonus Group•Los Angeles, CA
•Remote
About The Position
Our client, a leading national insurance carrier, is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team. This individual will be responsible for managing a caseload of complex workers’ compensation claims from initial filing through resolution, ensuring timely and fair claim outcomes while maintaining compliance with state regulations and company guidelines.
Requirements
- 2+ years of experience handling workers’ compensation claims for an insurance carrier or TPA.
- Strong knowledge of state workers’ compensation statutes and regulations.
- Excellent communication, negotiation, and analytical skills.
- Ability to manage a high-volume caseload effectively and independently.
- State adjusting license(s) as required.
Responsibilities
- Investigate, evaluate, and resolve workers’ compensation claims in accordance with applicable laws and company policies.
- Determine compensability, establish reserves, and authorize payments for medical and indemnity benefits.
- Coordinate and communicate with claimants, employers, medical providers, attorneys, and other stakeholders throughout the claim lifecycle.
- Develop strategies for efficient and cost-effective claim resolution, including litigation management when applicable.
- Maintain accurate claim documentation and ensure timely reporting in accordance with state requirements.
- Stay current on jurisdictional laws, medical treatment trends, and best practices in workers’ compensation claims handling.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
- PTO
- Annual target bonus
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
