Workers' Compensation Claim Adjuster
3 weeks ago
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Workers' Compensation Claim Consultant is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for consideration of promotion to a more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Responsibilities:
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Assess and monitor subrogation claims for resolution.
Review and maintain personal diary on claim system.
Client satisfaction.
Prepare reports detailing claim status, payments and reserves, as requested.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
Prepare newsletter articles, as requested.
Provide notices of qualifying claims to excess/reinsurance carriers.
Handle more complex and involved claims than lower level claim positions with minimum supervision.
Conduct claim reviews and/or training sessions for designated clients, as requested.
Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Performs other duties as assigned.
Qualifications:
Education and/or Experience
Three or more years experience adjusting California Workers' Compensation Claims is required.
Computer Skills
Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
Adjuster's license is preferred. (California SIP)
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.
#CCMSI #EmployeeOwned #GreatPlaceToWorkCertified #SmallTeams #LowCaseLoad #WorkComp #AdjusterJobs #HiringNow #InsuranceCareers #IND123
-
Workers Compensation Claims Adjuster
4 weeks ago
Folsom, California, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Workers' Compensation Claim Adjuster
2 weeks ago
Irvine, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Senior Workers Compensation Claims Adjuster
4 weeks ago
Folsom, California, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Senior Workers Compensation Claims Adjuster
5 days ago
Folsom, California, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Senior Workers Compensation Claims Adjuster
4 weeks ago
Folsom, California, United States Gallagher Full timeAbout Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...
-
Irvine, California, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Irvine, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Claims Adjuster Iii, Ca
1 month ago
Irvine, United States AmTrust Financial Services, Inc. Full timeOverview: The Workers' Compensation Adjuster III is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. The Adjuster III is often, though not always, assigned to larger or more complex claims...
-
Claims Adjuster III, CA
22 hours ago
Irvine, United States AmTrust Financial Full timeOverview: The Workers' Compensation Adjuster III is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. The Adjuster III is often, though not always, assigned to larger or more complex claims...
-
Workers' Compensation Claim Specialist
3 weeks ago
Concord, California, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Worker's Compensation Adjuster
1 week ago
San Francisco, California, United States City and County of San Francisco Full timeJob Description 5/10/2024 - This recruitment has been extended to accept additional applications. The new application deadline is Friday, May 24, 2024. Application Open: Tuesday, April 30th, 2024 Application Deadline: End of Day, Friday, May 24, 2024 Work Arrangement: Hybrid Remote/Onsite Fill Type: Permanent Civil Service Recruitment ID: RTF(phone...
-
Worker's Compensation Attorney
3 weeks ago
Irvine, United States Advantex Professional Services Full timeJob Title: In-House Workers' Compensation Attorney Location: Irvine, CA Job Type: Full-Time About Us: A reputable service company headquartered in Irvine, CA is deeply committed to cultivating a workplace that is safe, fair, and conducive to productivity. They prioritize the health and safety of their employees and are dedicated to handling all...
-
Workers' Compensation Legal Assistant I
4 weeks ago
Irvine, California, United States AmTrust Financial Services, Inc. Full timeOverview: Responsible for supporting the California Workers’ Compensation Hearing Representative Unit handling cases from the outset of lien litigation through trial. Responsibilities include the preparation of pleadings, coordination of schedules, communication with Claims, and organization of files. Maintains a solid understanding of AmTrust’s mission,...
-
Worker's Compensation Attorney
3 weeks ago
Irvine, United States Advantex Professional Services Full timeJob Title: In-House Workers' Compensation AttorneyLocation: Irvine, CAJob Type: Full-TimeAbout Us: A reputable service company headquartered in Irvine, CA is deeply committed to cultivating a workplace that is safe, fair, and conducive to productivity. They prioritize the health and safety of their employees and are dedicated to handling all workers'...
-
Worker's Compensation Attorney
3 weeks ago
Irvine, United States Advantex Professional Services Full timeJob Title: In-House Workers' Compensation AttorneyLocation: Irvine, CAJob Type: Full-TimeAbout Us: A reputable service company headquartered in Irvine, CA is deeply committed to cultivating a workplace that is safe, fair, and conducive to productivity. They prioritize the health and safety of their employees and are dedicated to handling all workers'...
-
Worker's Compensation Attorney
4 days ago
Irvine, United States Advantex Professional Services Full timeJob Title: In-House Workers' Compensation AttorneyLocation: Irvine, CAJob Type: Full-TimeAbout Us: A reputable service company headquartered in Irvine, CA is deeply committed to cultivating a workplace that is safe, fair, and conducive to productivity. They prioritize the health and safety of their employees and are dedicated to handling all workers'...
-
Workers' Compensation Associate Attorney
3 weeks ago
Sacramento, California, United States Lewis Brisbois Full timeOverview: The Sacramento office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking an attorney to join its Workers’ Compensation Practice. The ideal candidate will have at least two (2) to seven (7) years of experience defending Workers’ Compensation claims, including experience appearing before various Workers’ Compensation...
-
CA Claims Specialist
6 hours ago
California, United States CorVel Corporation Full timeThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL...
-
Senior Claims Specialist
1 day ago
California, United States CorVel Corporation Full timeWe are seeking a 4850 Sr. Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and...
-
Workers' Compensation Associate Attorney
3 weeks ago
San Bernardino, California, United States Lewis Brisbois Full timeOverview: The San Bernardino office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking attorneys to join its Workers’ Compensation Practice. The ideal candidate will have at least one (1) to seven (7) years of experience defending Workers’ Compensation claims, including experience appearing before various Workers’...
