Sr Workers Comp Adjuster- San Diego CA

POSITION: Workers Comp Adjuster San Diego CA

FULLTIME

LOCATION: San Diego CA Hybrid 2 days in office)

SCHEDULE: MondayFriday

PAY RANGE: $9095K/yr.
(Exact compensation may vary based on skills experience and location. Base pay information is based on market location.

JOB DESCRIPTION:

Investigates evaluates disposes and settles moderately complex to complex/high exposure claims. Includes the investigation evaluation and determination of coverage compensability and responsibility and the setting of proper reserves.

JOB RESPONSIBILITIES:

• Processes moderately complex to complex or high exposure claims consistent with clients and corporate policies procedures and Best Practices and in accordance with any statutory regulatory and ethics requirements.
• Independently analyzes claim exposure determines a proper plan of action to appropriately mitigate and settle/close the claim working within established level of authority.
• Interacts with injured workers client contacts and attending Physician(s) to ensure awareness and understanding of the Workers Compensation process requirements and entitlements.
• Interacts with disability and leave examiners for coordination of nonoccupational benefits.
• Prepares and issues notices in accordance with mandated requirements and regularly reviews and stays abreast of applicable laws rules and regulations that may impact how claims are processed.
• Establishes and maintains proper reserving throughout the life of the claim.
• Identify subrogation potential and pursue the process for reimbursement.
• Complies with carrier excess reporting and threshold requirements.
• Coordinates medical treatment for injured workers and provides information to treating physician(s) regarding the employees medical history health issues and job requirements.
• Fully understands Medicare reporting requirements as they relate to a Workers Compensation claim.
• Facilitates early RTW through temporary transitional alternate or modified work.
• Manages all medical aspects of a claim file with a focus on RTW and end of treatment.

REQUIRED QUALIFICATIONS: California SelfInsured

Education: High School Diploma or GED required: Bachelors degree in related field (strongly preferred) or equivalent combination of education and experience.

Experience: Three 3 to five 5 years of Workers Compensation Claims administration experience required working with selfinsured and/or insured claims.

Preferred Skills:

• Demonstrated experience working with complex high exposure and litigated WC claims.
• Appropriately licensed and/or certified in all States in which claims are being handled. MultiJurisdiction experience is a .
• Bilingual Spanish is a
• Able to work in a fast paced high stress changing environment.
• Strong analytical critical thinking and problemsolving skills required.
• Effective verbal and written communication skills required.
• Excellent planning organizing and negotiation skills required.

WORKING CONDITIONS:

• May on occasion be exposed to loud sounds and distracting noise levels such as from office equipment.
• The ability to lift up to 30lbs
• Use of computers and technology

Here at Canon Recruiting People are our priority and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity we are made a stronger organization and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an everchanging market. By promoting inclusion with the same enthusiasm we devote to quality and competency and using the experience from a diverse assortment of backgrounds and experiences Canon is able to improve the services and value we deliver to clients employees and customers. At Canon Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life.

Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.

The pay range for this position is listed above. Base pay information is based on market location.
We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans.
For individuals with disabilities who would like to request an accommodation please email