Sr. Workers Compensation Claims Adjuster - Fresno, CA

Insurance Relief
Sacramento, CALIFORNIA
$35-$45 an hour
Full-time

JOB DESCRIPTION

Sr. Workers Compensation Claims Adjuster - Fresno, CA

We have an extraordinary opportunity available! A passionate insurance company in the Central Valley is looking for a persistent and resourceful individual to help its team.

This is a great opportunity for an insurance professional to work at an insurance agency that takes pride in helping others and providing the best customer service.

If you would like the chance to collaborate with a phenomenal team then this role may be right for you.

What’s in it for you?

Monday-Friday

$35.00 - $45.00 hourly

Career growth

Innovative team!

What we need from you :

Experience - You have at least 5 years of Workers’ Compensation claims experience

Certification - SIP certification required

Customer Service - You have excellent customer service, communication, and telephone skills

Mathematical and Analytical - Ability to review data and make actionable recommendations based on the information.

Comprehensive Knowledge - Understanding of Worker’s Compensation guidelines and compliance obligations.

Software - You are proficient with Microsoft Office : Excel, Word, PowerPoint, and other database management systems

Responsibilities :

Responsibilities include handling new claims from opening until satisfactory completion, evidence, and fact-gathering surrounding claims

Assuring all claims have a workable plan of action

Working with case managers and treatment facilities to ensure the delivery of care

Reviewing billing summaries

Identifying any signs of fraud and making proper referrals for further investigation

Pursue subrogation when necessary, and offer superior customer service to all parties involved

Compensation / Pay Rate (Up to) : $40.00 - $45.00 Per

30+ days ago
Related jobs
Promoted
PMA Companies
Roseville, California

Regional Claims Supervisor - Workers Compensation. As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goa...

Promoted
Medline Industries - Transportation & Operations
Sacramento, California

Manage the overall relationship among various workerscompensation service vendors, brokers and Medline to ensure proper handling of all work-related injuries that are compensable under various workerscompensation jurisdictions. Responsible for managing activities associated with workers’ compens...

Berkshire Hathaway Homestate Companies
Sacramento, California

This Claims Professional is responsible for the management of a caseload of workers compensation indemnity claims from inception to resolution, performing initial investigation and compensability determination, reserve analysis and strategic planning, timely benefit administration to injured workers...

Sedgwick
Roseville, California

To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client ...

NIC National Interstate Corporation
California, USA
Remote

Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, inclu...

Sedgwick
Roseville, California

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...

DLM Professional
Sacramento, California
Remote

You will conduct training seminars for clients on changing workers' compensation case law and understand/maintain current knowledge of workers' compensation case law. As a Workers' Compensation Attorney, you will manage the legal defense of workers' compensation cases from inception to final resolut...

Sedgwick
Roseville, California

To analyze California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Hybrid & Onsite) Workers Compensation Claims Hand...

Zenith Insurance Company
Roseville, California

Preferred location Fresno, will consider Dublin, CA or. Expected to be regarded as a workerscompensation expert by assigned agencies. Years workerscompensation underwriting experience required. Full knowledge of workerscompensation policy and underwriting rules. ...

Sedgwick Claims Management Services Ltd
Roseville, California

Claims Manager Workers Compensation - (Hybrid Schedule). To manage the technical and operational functions within a dedicated client; to ensure consistent delivery of quality services; to manage staffing and training needs of specified unit; and to oversee budget preparation and profit and loss mana...