Claims Adjuster
2 weeks ago
Location: Los Angeles, CA
Duration: 4 Months
Job schedule: On site
Job hours: 8:00am - 4:30pm
Interview Process - WEBEX prescreen/Then In-Person Interview
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment.
Job Responsibilities:
" Analyze first reports to determine nature of loss, coverage provided, and scope of injuries;
" Promptly contact insureds to properly develop the file to provide accurate and timely investigation and loss analysis.
" Maintain an active diary; monitor diary to achieve timely development of file and timely disposition of the claim;
" Recognize and pursue recovery where possible; adhere to all statutory regulations and unfair claim practices act;
" Effectively communicate with all internal and external customers.
"Strick adherence to jurisdiction rules regarding form notices to injured worker, insured and state court
Skills:
" Knowledge of California workers' compensation claim handling, investigative techniques, legal requirements and regulations.
" Ability to work with a wide spectrum of people;
" Develop and maintain strong business relationships with internal and external customers;
" Excellent written and verbal communication skills; Customer service orientation; strong analytical and negotiation skills.
Education/Experience:
" High school diploma or Bachelor's degree
" 5+ years experience required handling Workers Compensation handling California Claims
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