Claims Adjuster III

5 days ago


Glendale, California, United States Intercare Holdings Insurance Services, Inc. Full time
Job Summary

Intercare Holdings Insurance Services, Inc. is seeking a highly skilled Claims Adjuster III - Workers Compensation to join our team. As a key member of our claims department, you will be responsible for managing a portfolio of workers' compensation claims, ensuring timely and fair resolution of claims, and providing exceptional customer service to our policyholders.

Key Responsibilities
  • Claims Management: Manage a high-volume portfolio of workers' compensation claims, ensuring timely and fair resolution of claims.
  • Communication: Develop and maintain strong relationships with policyholders, employers, and medical providers to ensure effective communication and resolution of claims.
  • Investigation and Analysis: Conduct thorough investigations and analysis of claims to determine compensability and liability.
  • Dispute Resolution: Negotiate and resolve disputes with policyholders, employers, and medical providers to achieve fair and timely resolution of claims.
  • Compliance: Ensure compliance with all relevant laws, regulations, and company policies related to workers' compensation claims.
  • Reporting and Analytics: Provide regular reporting and analytics to management on claims performance, trends, and areas for improvement.
Requirements
  • Education: Bachelor's degree in a related field, such as business, insurance, or a related field.
  • Experience: At least 7 years of experience in workers' compensation claims handling, with a minimum of 5 years of experience in a leadership or supervisory role.
  • Certifications: SIP (Special Investigations Program) certification or equivalent.
  • Skills: Strong analytical and problem-solving skills, excellent communication and interpersonal skills, and the ability to work in a fast-paced environment.

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