Claims Adjuster
3 weeks ago
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.
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 gather evidence regarding ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and the reason the claim is still open.
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 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.
Responds to requests for service and assistance; Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's degree (B. or 3-5years related experience& training, 5 years without a SIP certificate, or equivalent combination of education and experience.
-
Claims Adjuster
3 weeks ago
Glendale, California, United States Mindlance Full timeDescription: Hiring Manager's note: Work location: remote but onsite preferred CA SIP preferred Minimum 4+ years of relevant experience. ***someone who has worked at *** before and knows Juris & SIR, that would be a preference. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work...
-
Claims Adjuster
4 weeks ago
Glendale, California, United States Mindlance Full time: Hiring Manager's note: Work location: remote but onsite preferred CA SIP preferred Minimum 4+ years of relevant experience. ***someone who has worked at *** before and knows Juris & SIR, that would be a preference. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure...
-
Claims Estimation Expert
1 day ago
Glendale, California, United States Sedgwick Claims Management Services Full timeSedgwick Claims Management Services invites experienced professionals to apply for the role of Senior Estimate Review Specialist.">Job Summary:This critical position focuses on reviewing estimates and supporting documentation submitted by contractors and adjusters. To succeed in this role, you'll need to demonstrate strong technical knowledge, analytical...
-
Claims Adjuster Position
1 week ago
Glendale, California, United States beBee Careers Full timeAbout the RoleThis role offers an exciting opportunity to work in a dynamic and fast-paced environment where you will be responsible for investigating and resolving homeowner's property claims. You will work closely with our team to provide exceptional customer service and ensure that claims are resolved in a timely and efficient manner.As a Property Claims...
-
Workers Compensation Claims Adjuster II
4 weeks ago
Glendale, California, 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...
-
Workers Compensation Claims Adjuster II
4 weeks ago
Glendale, California, 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...
-
Workers Compensation Claims Adjuster III
5 days ago
Glendale, California, 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...
-
Managing Public Adjuster
2 weeks ago
Glendale, California, United States Allied Public Adjusters Full timeCome and Lead the Next Generation of Adjusters. Champion the Truth.At Allied Public Adjusters, we're raising the bar for how property claims are handled in this industry. Since 1997, we've advocated for policyholders with expertise, rigor, and integrity. We don't just write estimates - we pursue truth, guide clients, and drive results.Each team of Public...
-
Managing Public Adjuster
2 weeks ago
Glendale, California, United States Allied Public Adjusters Full timeCome and Lead the Next Generation of Adjusters. Champion the Truth.At Allied Public Adjusters, we're raising the bar for how property claims are handled in this industry. Since 1997, we've advocated for policyholders with expertise, rigor, and integrity. We don't just write estimates - we pursue truth, guide clients, and drive results.Each team of Public...
-
Claims Manager
1 week ago
Glendale, California, United States Allied Public Adjusters Full timeCome and Lead the Next Generation of Adjusters. Champion the Truth.At Allied Public Adjusters, we're raising the bar for how property claims are handled in this industry. Since 1997, we've advocated for policyholders with expertise, rigor, and integrity. We don't just write estimates - we pursue truth, guide clients, and drive results.Each team of Public...
