Talent.com
Sr. Workers' Compensation Claims Adjuster
Sr. Workers' Compensation Claims AdjusterElite • Sacramento, CA, US
Sr. Workers' Compensation Claims Adjuster

Sr. Workers' Compensation Claims Adjuster

Elite • Sacramento, CA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.permanent
  • serp_jobs.job_card.temporary
job_description.job_card.job_description

Job Description

Job Description

Must have the SIP certification

Must live in CA

Workers Compensation - Sr. Work Comp Claims Adjuster

Temp-to-Hire position

Salary / Pay : Salary is $85,000 - $95,000 with the temporary employment hourly wage range of $40.86 - $45.66 / hour

POSITION SUMMARY : Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.

DUTIES AND RESPONSIBILITIES :

  • Effectively manages a caseload of 130 workers’ compensation files, including very complex claims.
  • Initiates and conducts investigation in a timely manner.
  • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.
  • Manages medical treatment and medical billing, authorizing as appropriate.
  • Refers cases to outside defense counsel. Directs and manages as appropriate.
  • Communicates with claimants, providers and vendors regarding claims issues.
  • Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Adjuster I and Claims Adjuster II.
  • Settles and / or finalize all claims and obtains authority as designated.
  • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.
  • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.
  • Adheres to all Company policies and procedures.
  • Conducts file reviews independently.
  • Other duties as assigned.
  • Essential job function.

EQUIPMENT OPERATED / USED : Computer, fax machine, copier, printer, and other office equipment.

QUALIFICATIONS REQUIRED :

Education / Experience : Bachelor’s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.

Knowledge, Skills and Abilities :

  • Technical knowledge of statutory regulations and medical terminology.
  • Analytical skills.
  • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
  • Ability to interact with persons at all levels in the business environment.
  • Ability to independently and effectively manage very complex claims.
  • Proficient in Word and Excel (preferred).
  • Other Qualifications :

  • Certifications and / or licenses as required by State regulation.
  • Here are some of the benefits you can enjoy in this role :

  • Medical, Dental, Vision, Disability & Life Insurance
  • 401(k) plan
  • Paid time off
  • Paid holidays
  • Company Description

    Recruitment (Direct Hire Placement) and Staffing Services Company

    Company Description

    Recruitment (Direct Hire Placement) and Staffing Services Company

    serp_jobs.job_alerts.create_a_job

    Compensation Adjuster • Sacramento, CA, US

    Job_description.internal_linking.related_jobs
    Senior Workers Comp Claims Adjuster

    Senior Workers Comp Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Federal Workers Comp Claims Adjuster.Key Responsibilities Manage and resolve complex workers compensation claims through effective decision-making and communicat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Workers Compensation Claims Adjuster II - California - Roseville, CA

    Workers Compensation Claims Adjuster II - California - Roseville, CA

    PMA Companies • Roseville, CA, United States
    serp_jobs.job_card.full_time
    Workers Compensation Claims Adjuster II - California.Roseville, California, United States.As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently inve...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    California Licensed Workers Compensation Adjuster

    California Licensed Workers Compensation Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure, planning action, and resolving claims effectively Communicate ext...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Connecticut Licensed Claims Adjuster

    Connecticut Licensed Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Adjuster for Workers Compensation in Connecticut.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively I...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Georgia Licensed Workers Compensation Adjuster

    Georgia Licensed Workers Compensation Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Workers Compensation Claims Adjuster - Grocery.Key Responsibilities Manage and analyze claims exposure to determine proper resolution strategies Facilitate comm...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Resolution Adjuster

    Claims Resolution Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Resolution Adjuster - Remote (EST / CST).Key Responsibilities Investigate automobile accidents involving bodily injury Assess coverage, liability, and damages whi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Florida Licensed Claims Adjuster

    Florida Licensed Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Adjuster Workers Compensation in Florida.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively Interact with va...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Adjudicator

    Claims Adjudicator

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Provider Claims Adjudicator.Key Responsibilities Facilitates the resolution of claims issues by coordinating with operational areas and analyzing systems Responds to p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Workers Compensation Claims Adjuster (GA, NC, SC)

    Workers Compensation Claims Adjuster (GA, NC, SC)

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Workers Compensation Claims Adjuster - Grocery.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively Interact w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Senior Workers Compensation Adjuster

    Senior Workers Compensation Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Workers Compensation Adjuster

    Workers Compensation Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Workers Compensation Subro Claims Adjuster.Key Responsibilities Analyze claims exposure and litigation to make informed decisions and resolve claims Interact with vari...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    California Workers Compensation Adjuster

    California Workers Compensation Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and planning appropriate resolutions Communicate effectively with ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Workers Compensation Claims Specialist

    Workers Compensation Claims Specialist

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Workers Comp Claims Representative.Key Responsibilities Maintain a queue of Workers' Compensation accounts and ensure timely claims processing Contact relevant parties...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Workers' Compensation Team Lead

    Workers' Compensation Team Lead

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Workers' Compensation Claims Team Lead.Key Responsibilities Evaluate, reserve, and manage lost time Workers' Compensation claims Oversee team performance and developme...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Multi-State Licensed Claims Adjuster

    Multi-State Licensed Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Auto and General Liability Claims Adjuster.Key Responsibilities Analyze claims exposure and litigation to determine the appropriate course of action and resolve ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Missouri Licensed Claims Adjuster

    Missouri Licensed Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Auto and General Liability Claims Adjuster.Key Responsibilities Manage and resolve complex Bodily Injury and General Liability claims while ensuring compliance w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Licensed Senior Claims Adjuster

    Licensed Senior Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Commercial Claims Adjuster - Auto BI.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively Interact with variou...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Oregon Licensed Senior Claims Adjuster

    Oregon Licensed Senior Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Adjuster Workers Compensation in Oregon.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Comm...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    California Licensed Claims Adjuster

    California Licensed Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze claims exposure and litigation, planning the proper course of action to res...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Florida Licensed Senior Claims Adjuster

    Florida Licensed Senior Claims Adjuster

    VirtualVocations • Sacramento, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Adjuster Workers Compensation in Florida.Key Responsibilities Execute claims management decisions to analyze and resolve claims exposure Interact with va...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted