Workers' Compensation Claims Adjuster
2 weeks ago
Title: Claims Adjuster - Workers Compensation
Location: Los Angeles CA USA 90071 (On Site)
Duration: 3 Months (Temp to Perm)
Job hours-8:00-4:30
Pay Range : $ 45.46 - 50.52/Hourly
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
Note: The Company is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAhr@spectraforce.com.
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