Workers' Compensation Claims Adjustor

Sutter Health•Sacramento, CA

1d•Hybrid

About The Position

This position is responsible for the management of workers' compensation claims for assigned self-insured affiliates. The Adjustor manages claims from the time they are reported until their resolution. The role involves working in a team environment alongside technical specialists, a supervisor, a claim manager, and affiliate representatives. Additionally, the Adjustor partners with medical providers and risk management professionals to ensure the integration of claim issues.

Requirements

Candidate must come on site as needed and live in the Northern California Sutter Health footprint
Bachelor's degree or equivalent experience
Successful completion of SIP Certificate exam within 36 months of hire
Successful completion of an IEA Certificate within 18 months of hire
5 years recent relevant experience
Thorough knowledge of California Workers’ Compensation law
On the job and classroom training, experience and knowledge surrounding California’s Labor Code, estimating workers’ compensation costs, permanent disability rating and medical terminology
Proven oral and written communication skills, reflecting knowledge of grammar in English composition and acceptable business letter format, as well as industry jargon
Ability to ensure compliance with Standard Work and Claims Management Standards
Demonstrated ability to handle confidential information
Ability to work independently, maintain a balance of work priorities and complete assignments within established timeframes
Analytical skills, the ability to draw valid conclusions, and formulate sound recommendations
Organizational and planning skills, and the ability to manage and coordinate the activities related to an assigned caseload and the payment of workers’ compensation claims
Ability to work with diverse health and administrative professionals at all organizational levels
Computer literate and have a working knowledge of Microsoft Office

Responsibilities

Manage workers' compensation claims for assigned self-insured affiliates
Manage claims from time reported until resolution
Work in a team environment with technical specialists, supervisor, claim manager and affiliate representatives
Partner with medical providers and risk management professionals to ensure integration of claim issues