We have other current jobs related to this field that you can find below
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Worker's Compensation Adjuster
1 month ago
Glendale, Arizona, United States TheBest Claims Solutions Full timeOur client, a Third Party Administrator, is looking for a Workers Compensation Adjuster to join their team in a Temporary role. This will be a Hybrid position in their Glendale, CA office.Required Qualifications:3+ years of Workers' Compensation Claims ExperiencePerform a three-point contact on all new losses within 24 hours of receipt of the claim to...
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Claims Adjuster
3 months ago
Glendale, United States Sedgwick Full timeClaims Adjuster - Workers Compensation page is loaded **Claims Adjuster - Workers Compensation** **Claims Adjuster - Workers Compensation** locationsGlendale, CA time typeFull time posted onPosted 3 Days Ago job requisition idR15374 **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you...
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Worker's Compensation Adjuster
1 month ago
Glendale, United States TheBest Claims Solutions Full timeOur client, a Third Party Administrator, is looking for a Workers Compensation Adjuster to join their team in a Temporary role. This will be a Hybrid position in their Glendale, CA office.Required Qualifications:3+ years of Workers' Compensation Claims ExperiencePerform a three-point contact on all new losses within 24 hours of receipt of the claim to...
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Workers Compensation Adjuster
3 months ago
Glendale, United States Intercare Insurance Services Full timeWorkers Compensation Adjuster IIISummary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to...
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Workers Compensation Adjuster
3 months ago
Glendale, United States Intercare Insurance Full timeJob DescriptionJob DescriptionWorkers Compensation Adjuster III Summary:Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for...
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Workers Compensation Claims Adjuster I
2 weeks ago
Glendale, United States Intercare Holdings Insurance Services Inc Full timeJob DescriptionJob DescriptionDescription:Summary:Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties.Essential Duties and Responsibilities:Three-point contact, initial investigation, initial...
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Workers Compensation Adjuster III
3 months ago
Glendale, United States Intercare Insurance Full timeJob DescriptionJob DescriptionWorkers Compensation Adjuster III Summary:Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for...
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Worker Compensation Claims Adjuster I
2 days ago
Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Full-time Description Summary: Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties. Essential Duties and Responsibilities: Three-point contact, initial investigation, initial benefit...
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Worker Compensation Claims Adjuster II
1 month ago
Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Full-time Description Summary: Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files.Essential Duties and Responsibilities: Perform a...
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Workers Compensation Claims Adjuster II
2 days ago
Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Full-time Description Summary: Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files.Essential Duties and Responsibilities: Perform a...
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Worker's Compensation Claims Adjuster III
3 months ago
Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Full-time Description Summary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion...
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Workers Compensation Claims Adjuster Trainee
2 months ago
Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Full-time Description Summary: Participation in a structured training program that involves both classroom and hands on experience with the daily duties of a claims operation. Training will be structured for &fac12; day lecture and the remainder of the day working with claims staff to learn about handling workers compensation claims. Claims will be...
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Temp Workers Compensation Claims Adjuster II
1 month ago
Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Temporary Description Summary: Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files.Essential Duties and Responsibilities: Perform a...
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Workers Compensation Claims Adjuster II
2 weeks ago
Glendale, United States Intercare Holdings Insurance Services Inc Full timeJob DescriptionJob DescriptionDescription:Summary:Reports directly to the unit Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files.Essential Duties and...
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Temp Workers Compensation Claims Adjuster III
2 weeks ago
Glendale, United States Intercare Holdings Insurance Services Inc Full timeJob DescriptionJob DescriptionDescription:Summary:Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to...
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Glendale, United States Intercare Holdings Insurance Services, Inc. Full timeJob Type Temporary Description Summary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion...
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California Workers' Compensation Auditor
2 months ago
Glendale, United States iMedX, a RapidCare Group company Full timeJob DescriptionJob DescriptioniMedX is looking for a California Workers's Compensation Coding Auditor. This position requires proficiency in DRG-based auditing and a minimum of 5 years experience: at least 3 years of California workers' compensation production coding and 2 years of California workers' compensation auditing experience. ...
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California Workers' Compensation Auditor
3 months ago
Glendale, United States iMedX, a RapidCare Group company Full timeJob DescriptionJob DescriptioniMedX is looking for a California Workers's Compensation Coding Auditor. This position requires proficiency in DRG-based auditing and a minimum of 5 years experience: at least 3 years of California workers' compensation production coding and 2 years of California workers' compensation auditing experience. ...
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Automotive Claims Adjuster
1 week ago
Glendale, United States ZimZee Recruiting Full timeZimZee Recruiting is looking for an Automotive Claims Adjuster to join our dynamic and growing transportation company in the Glendale, Arizona area. In this role, you will be the key expert in managing all claims across various insurance coverage lines, ensuring timely resolution and cost control. Your expertise will directly contribute to the company’s...
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Automotive Claims Adjuster
1 week ago
Glendale, United States ZimZee Recruiting Full timeZimZee Recruiting is looking for an Automotive Claims Adjuster to join our dynamic and growing transportation company in the Glendale, Arizona area. In this role, you will be the key expert in managing all claims across various insurance coverage lines, ensuring timely resolution and cost control. Your expertise will directly contribute to the company’s...
Workers Compensation Adjuster
3 months ago
Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.
Essential Duties and Responsibilities:
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident itself as well as disability and treatment status.
- Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
- Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
- Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
- Initiate the referral to the SIU of cases with suspected fraud.
- Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
- Assure that the claim file is handled totally in accordance with applicable statutes as well as in-force service contracts and company guidelines.
- Review and approve all vocational rehabilitation plans.
- Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
- Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file.
- Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company.
- Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
- Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
- Litigation management - Direct, manage, and control the litigation process.
- Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Competency:
To perform the job successfully, an individual should demonstrate the following competencies:
- Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Uses reason even when dealing with emotional topics.
- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
- Interpersonal - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
- Team Work - Supports everyone's efforts to succeed.
Qualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience:
Bachelor's degree (B. A.) from four-year college or university; at least seven years related experience and/or training; or equivalent combination of education and experience. Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues & possess an SIP certificate.
