Workers Compensation Claims Adjuster III

2 weeks ago


Sacramento, California, United States The Jonus Group Full time
Job Title: Workers Compensation Claims Adjuster III

We 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 resolution.

Key Responsibilities:
  • Investigate and evaluate workers' compensation claims to determine compensability and establish a plan of action for resolution.
  • Communicate effectively with claimants, employers, and medical professionals to gather relevant information and ensure compliance with legal requirements.
  • Develop and implement strategies to maximize early return to work potential and reduce the need for extended disability payments and vocational rehabilitation.
  • Collaborate with medical case managers to ensure accurate and timely documentation of case facts and relevant information.
  • Identify and refer cases with suspected fraud to the Special Investigations Unit (SIU).
Requirements:
  • 5 years' experience in workers' compensation claims adjusting.
  • Strong knowledge of workers' compensation laws and regulations.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team.

Salary: $90k-92k/Yearly



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