WC Claims Adjuster
WC Claims Adjuster
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$ 75000 - 105000
1 Vacancy
Job Description
Job Description
Workers Compensation Claims Adjuster
Job Summary
Looking for a dedicated and detail-oriented Workers Compensation Claims Adjuster to join a claims department. This role involves managing workers compensation claims from inception to resolution ensuring compliance with statutory and regulatory guidelines while delivering excellent service to all stakeholders.
Compensation Package
- Salary Range: $75000 - $105000
Responsibilities
As a Workers Compensation Claims Adjuster your primary responsibilities will include:
- Managing workers compensation claims from initiation to resolution.
- Investigating documenting and determining coverage and liability for industrial-accident and occupational-disease claims.
- Reviewing medical records and other documentation to manage the medical and disability aspects of claims.
- Collaborating with injured workers policyholders medical providers vendors attorneys and other stakeholders.
- Ensuring injured workers receive appropriate benefits in compliance with statutory and regulatory guidelines.
- Working closely with the Workers Compensation Appeals Board and judges as needed.
Qualifications/Requirements
The ideal candidate will possess the following qualifications:
- Thorough understanding of California Workers Compensation laws the Workers Compensation Appeals Board and established internal claims standards.
- Working knowledge of medical terminology.
- Exceptional communication skills both written and verbal.
- Strong attention to detail investigative abilities and organizational skills.
- Excellent interpersonal skills to effectively collaborate with diverse stakeholders.
- Bilingual proficiency in Spanish and English is a plus.
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Employment Type
Full-Time
