Workers Compensation Claims Adjuster III
4 weeks ago
Make sure to apply with all the requested information, as laid out in the job overview below.
Job Description
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.
Salary
$90k-92k/Yearly
Requirements
5 years’ experience
SIP
#LI-MM4
#LI-DW1
#LI-BW1
INDTJG-CTT
-
Workers Compensation Claims Adjuster III
4 weeks ago
Sacramento, California, United States The Jonus Group Full timeJob Title: Workers Compensation Claims Adjuster IIIWe are seeking an experienced and detail-oriented Senior Workers' Compensation Claims Adjuster to join our team at The Jonus Group. The ideal candidate will have a thorough understanding of workers' compensation laws and regulations, and a proven track record of managing complex claims from inception to...
-
Workers Compensation Claims Adjuster III
3 weeks ago
Sacramento, United States Jonus Group Full timeJob SummaryWe are seeking an experienced and detail-oriented Senior Workers' Compensation Claims Adjuster to join our team at Jonus Group.Key ResponsibilitiesInvestigate, evaluate, and negotiate settlements for workers' compensation claims, ensuring compliance with legal requirements.Perform a three-point contact on all new losses within 24 hours of receipt...
-
Workers Compensation Claims Adjuster III
4 weeks ago
Sacramento, United States The Jonus Group Full timeJob DescriptionWe are seeking an experienced and detail-oriented Senior Workers' Compensation Claims Adjuster. The ideal candidate will have a thorough understanding of workers' compensation laws and regulations, and a proven track record of managing complex claims from inception to resolution. This role involves investigating, evaluating, and negotiating...
-
Workers Compensation Claims Adjuster III
4 weeks ago
Sacramento, United States The Jonus Group Full timeJob DescriptionWe are seeking an experienced and detail-oriented Senior Workers' Compensation Claims Adjuster. The ideal candidate will have a thorough understanding of workers' compensation laws and regulations, and a proven track record of managing complex claims from inception to resolution. This role involves investigating, evaluating, and negotiating...
-
Claims Adjuster
4 months ago
Sacramento, United States Insurance Placement Solutions Full timeInsurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will...
-
Workers' Compensation Claims Examiner
2 days ago
Sacramento, California, United States Sacramento County CA Full timeAbout the PositionThis is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 6/28/24, 7/19/24 (Final)Job SummaryUnder direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' Compensation Program. Incumbents in this class administer the indemnity workers'...
-
Workers' Compensation Claims Examiner
2 weeks ago
Sacramento, California, United States Sacramento County CA Full timeJob SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to closure.Attend...
-
Workers' Compensation Adjuster
1 month ago
Sacramento, United States BBSI Portland Full timeJob DescriptionJob DescriptionPOSITION SUMMARY: The Claims Advocate plays an essential role in mitigating BBSI’s risk related to workers’ compensation claims. This role requires exceptional business and customer service acumen and significant experience in workers’ compensation claims, including claims handling. This role will coordinate the...
-
Workers' Compensation Claims Examiner
1 month ago
Sacramento, California, United States Sacramento County CA Full timeAbout the PositionThis is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 6/28/24, 7/19/24 (Final)Job SummaryUnder direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' Compensation Program. Incumbents in this class administer the indemnity workers'...
-
Workers' Compensation Claims Advocate
3 weeks ago
Sacramento, California, United States BBSI Portland Full timeJob SummaryThe Claims Advocate plays a critical role in mitigating BBSI's risk related to workers' compensation claims. This position requires exceptional business acumen and significant experience in workers' compensation claims, including claims handling.This role will coordinate the essential duties related to the claims advocacy program, including...
-
Workers' Compensation Claims Advocate
4 weeks ago
Sacramento, California, United States BBSI Full timeJob SummaryThe Claims Advocate plays a critical role in mitigating BBSI's risk related to workers' compensation claims. This position requires exceptional business and customer service acumen, as well as significant experience in workers' compensation claims, including claims handling.Key ResponsibilitiesMaintain a clear focus on mitigating BBSI's financial...
-
Workers Compensation Claims Examiner
3 weeks ago
Sacramento, United States Insurance Relief Full timeWorkers Compensation Claims Examiner - Sacramento, CA*Temporary Assignment*Are you seeking a great new opportunity to use your trusted workers' compensation expertise? A dedicated agency in Sacramento is seeking an experienced Workers' Compensation Claims Examiner to collaborate with the team! In this role, you will investigate and evaluate claims, process...
-
Workers Compensation Claims Examiner
3 weeks ago
sacramento, United States Insurance Relief Full timeWorkers Compensation Claims Examiner - Sacramento, CA*Temporary Assignment*Are you seeking a great new opportunity to use your trusted workers' compensation expertise? A dedicated agency in Sacramento is seeking an experienced Workers' Compensation Claims Examiner to collaborate with the team! In this role, you will investigate and evaluate claims, process...
-
Workers' Compensation Defense Attorney
4 weeks ago
Sacramento, California, United States Berkshire Hathaway Homestate Companies Full timeAbout the RoleBerkshire Hathaway Homestate Companies is seeking an experienced workers' compensation defense attorney to join its in-house legal department in Sacramento, California.Key ResponsibilitiesDefend workers' compensation cases in Northern California with a solid understanding of California workers' compensation law.Develop and implement effective...
-
Medical Claims Adjuster
4 weeks ago
Sacramento, California, United States CVS Health Full timeJob Title: Medical Claims AdjustorAt CVS Health, we're committed to delivering exceptional healthcare services to our customers. As a Medical Claims Adjustor, you'll play a vital role in ensuring that our customers receive accurate and timely claims processing.Key Responsibilities:Review and adjust SF, FI, Reinsurance, and/or RX claims to ensure compliance...
-
Workers' Compensation Defense Attorney
3 weeks ago
Sacramento, California, United States Berkshire Hathaway Homestate Companies Full timeAbout the RoleBerkshire Hathaway Homestate Companies is seeking an experienced workers' compensation defense attorney to join its in-house legal department in Sacramento, California.Key ResponsibilitiesDefend workers' compensation cases in Northern California with a solid understanding of California workers' compensation law.Develop and implement effective...
-
Medical Claims Adjuster
38 minutes ago
Sacramento, California, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Medical Claims Adjustor to join our team. As a Medical Claims Adjustor, you will be responsible for reviewing and adjusting SF, FI, Reinsurance, and/or RX claims, as well as adjudicating complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.Key ResponsibilitiesPerform...
-
Senior Workers Compensation Specialist
2 weeks ago
Sacramento, California, United States Medline Industries Full timeJob SummaryMedline Industries is seeking a highly skilled Workers Compensation Specialist to join our team. As a key member of our risk management department, you will be responsible for managing workers' compensation claims, ensuring compliance with company policies and procedures, and providing expert advice to management and...
-
Workers' Compensation Defense Attorney
4 days ago
Sacramento, California, United States Berkshire Hathaway Homestate Companies Full timeAbout the RoleBerkshire Hathaway Homestate Companies is seeking a skilled workers' compensation defense attorney to join its in-house legal department in Sacramento, California.Key ResponsibilitiesDefend workers' compensation cases in Northern California with a strong understanding of California lawDevelop and implement effective defense strategies to...
-
Workers Compensation Defense Attorney
6 days ago
Sacramento, California, United States Jobot Full timeJob SummaryWe are seeking a skilled Workers Compensation Defense Attorney to join our team at Jobot. As a Workers Compensation Defense Attorney, you will represent clients in employment, workers' compensation, and insurance subrogation matters.Key ResponsibilitiesDefend clients in workers' compensation casesHandle subrogation claimsRepresent clients in...