Workers Compensation Adjuster
3 weeks ago
Claims Adjuster III
Position posted onApril 29, 2022
Claims Adjuster IIISeveral positions available in Glendale, CA
SummaryReports 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.
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 ExperienceBachelors 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.
Certificates and LicensesActive study for the IEA Certificate and Self-Insured Certificate, and successful completion of, or active study for the WCCP designation, or the equivalent in related studies or work experience.
-
Senior Workers Compensation Adjuster
1 month ago
Rocklin, California, United States TheBest Claims Solutions Full timeOur client, a Third Party Administrator, is looking for a Senior Workers Compensation Adjuster with Public Entity experience for a Direct Hire position in Phoenix. This employee will be remote, but need to available for in-office visits up to 2x per month. Please apply now if you would like to hear more details.Required Qualifications:5+ years of handling...
-
Senior Workers Compensation Adjuster
4 weeks ago
Rocklin, California, United States TheBest Claims Solutions Full timeOur client, a Third Party Administrator, is looking for a Senior Workers Compensation Adjuster with Public Entity experience for a Direct Hire position in Phoenix. This employee will be remote, but need to available for in-office visits up to 2x per month. Please apply now if you would like to hear more details.Required Qualifications:5+ years of handling...
-
Senior Workers Compensation Adjuster
1 month ago
Rocklin, United States TheBest Claims Solutions Full timeOur client, a Third Party Administrator, is looking for a Senior Workers Compensation Adjuster with Public Entity experience for a Direct Hire position in Phoenix. This employee will be remote, but need to available for in-office visits up to 2x per month. Please apply now if you would like to hear more details.Required Qualifications:5+ years of handling...
-
Workers Compensation Adjuster
1 month ago
Rocklin, United States Intercare Holdings Insurance Services Full timeClaims Adjuster IIIPosition posted onApril 29, 2022Claims Adjuster IIISeveral positions available in Glendale, CASummaryReports 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...
-
Workers Compensation Adjuster
4 weeks ago
Rocklin, United States Intercare Insurance Full timeJob DescriptionJob DescriptionClaims Adjuster IIIPosition posted on April 29, 2022Claims Adjuster IIISeveral positions available in Glendale, CA SummaryReports 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...
-
Workers Compensation Adjuster
1 month ago
Rocklin, United States Intercare Holdings Insurance Services Full timeClaims Adjuster IIIPosition posted onApril 29, 2022Claims Adjuster IIISeveral positions available in Glendale, CASummaryReports 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...
-
Workers Compensation Adjuster
4 weeks ago
Rocklin, United States Intercare Holdings Insurance Services Full timeClaims Adjuster IIIPosition posted onApril 29, 2022Claims Adjuster IIISeveral positions available in Glendale, CASummaryReports 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...
-
Workers Compensation Adjuster
4 weeks ago
Rocklin, United States Intercare Holdings Insurance Services Full timeClaims Adjuster IIIPosition posted onApril 29, 2022Claims Adjuster IIISeveral positions available in Glendale, CASummaryReports 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...
-
Senior Workers' Compensation Claims Specialist
3 weeks ago
Rocklin, United States Liberty Mutual Full timeThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and...
-
Senior Workers' Compensation Claims Specialist
2 weeks ago
Rocklin, California, United States Liberty Mutual Insurance Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Senior Workers' Compensation Claims Specialist
4 weeks ago
Rocklin, California, United States Liberty Mutual Insurance Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Workers' Compensation Claims Technician, Medical
2 weeks ago
Rocklin, United States Liberty Mutual Full time**Pay Philosophy** The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Rocklin, California, United States Liberty Mutual Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Rocklin, California, United States Liberty Mutual Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Rocklin, California, United States Liberty Mutual Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Rocklin, California, United States Liberty Mutual Full timePay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
-
Rocklin, United States Liberty Mutual Group Full timeConduct investigation to secure essential facts from injured worker, employer and providers regarding workers' compensations through telephone or written reports. Verifies information from claimants, physicians, and medical providers to assess compen Technician, Medical, Claims, Worker, Compensation, Insurance, Healthcare, Management
-
Workers Compensation Claims Supervisor
3 weeks ago
Rocklin, United States Intercare Insurance Services Full timeWorkers Compensation Claims Supervisor Job Details Job Type Full-time Rocklin, CA DescriptionSummary: Reports directly to the Claims Manager. Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. The unit also includes Claims...
-
Complex Technical Claims Specialist II
1 month ago
Rocklin, United States Liberty Mutual Group Full timeInvestigates claims to determine whether coverage is provided, establish compensability and verify exposure. Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Ex Workers Compensation, Claims Specialist, Technical, Claims, Worker, Compensation, Administrative, Insurance
-
Rocklin, United States Liberty Mutual Full time**Pay Philosophy** The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as...
