Claims Adjuster - Workers Compensation
Job Title : Claims Adjuster - Workers Compensation
Duration : 3+ Months (CTH)
Location : Los Angeles, CA
No. of Positions : 2
Job schedule : Hybrid (3 Days Onsite / 2 Days Remote)
Job hours-8 : 00-4 : 30
Interview process-WEBEX prescreen / Then in-person interview
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
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