Senior CA Workers Compensation Claims Adjuster - Remote (CA)

Job Description

Our client, a leading Third-Party Administrator, is seeking to add a Remote Senior Workers Compensation Claims Examiner. This role will consist of handling mid to complex Workers Compensation Lost Time claims from inception to close. Qualified candidates must be well-versed in California Workers’ Compensation Law and have the ability to work remotely!

• Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager.
• Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes.
• Communicate with medical providers to develop and authorize appropriate treatment plans.
• Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan.
• Negotiate settlements with injured workers and attorneys.

Requirements:

• 5+ years of Workers Compensation Lost Time claims handling experience
• Must be well-versed in CA Workers’ Compensation Law
• Must have their SIP.
• Must have experience handling litigated files.
• Excellent Customer Service and Organizational skills.
• High School Diploma; Bachelor's Degree preferred but not required.

Salary/Benefits:

• $85,000 - $95,000 +/year (based on experience)
• Flex schedule and ability to work remotely
• Competitive Medical, Dental, Vision and Life plans
• Employer matching 401(k) plan
• Generous PTO plan  

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