CA Workers Compensation Claims Adjuster
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Job Location:
Lexington, KY - USA
Monthly Salary:
$ 45 - 47
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Job Summary
We are seeking a detail-oriented Workers Compensation Claims Adjuster to join our team. The successful candidate will be responsible for investigating evaluating and resolving workers compensation claims in a timely and fair manner.
Responsibilities
- Review and analyze workers compensation claims to determine coverage and liability
- Conduct thorough investigations including obtaining medical and employment records interviewing claimants and witnesses and collaborating with medical professionals
- Evaluate and negotiate settlements within established authority limits
- Communicate with internal and external stakeholders including claimants employers medical providers and legal representatives
- Ensure compliance with all regulatory requirements and company policies
- Document claim activity and maintain accurate records
- Provide exceptional customer service and support to claimants throughout the claims process
Qualifications/Requirements
- Proven experience as a Workers Compensation Claims Adjuster or similar role
- Proficiency in interpreting and applying workers compensation laws and regulations
- Strong analytical and investigative skills
- Excellent communication and negotiation abilities
- Ability to work independently and manage multiple tasks with attention to detail
- Knowledge of insurance claim processing software systems
- Bachelors degree in Business Insurance or related field (preferred)
- Valid Claims Adjuster license (where applicable)
Compensation Package
- Compensation: $45.00-$47.00/hr (depending on experience)
- Remote work schedule available
Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.
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Key Skills
- Load & Unload
- Organizational skills
- Financial Concepts
- Fraud
- Math
- Mediation Experience
- Pricing
- Conflict Management
- Workers' Compensation Law
- Medicare
- negotiation
- Workers' Compensation
About Company
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