Sr. Workers Compensation Claims Adjuster Pasadena, CA

Job Description

Senior Workers Compensation Claims Representative

Job Summary

Seeking a highly skilled and experienced Senior Workers Compensation Claims Representative to join a team. This role involves managing Workers Compensation claims from inception to resolution ensuring compliance with company standards and regulatory requirements. The ideal candidate will have a strong background in claims investigation litigation management and customer service with a focus on delivering exceptional results.

Compensation Package

• Salary: $95000 - $120000 per year
• Benefits: Competitive benefits package 401(k) paid time off professional development opportunities etc.

Responsibilities

• Manage a caseload of 100-125 Workers Compensation claims including lost time indemnity med-pay and subrogation cases.
• Conduct thorough investigations including obtaining statements records and other evidentiary materials.
• Evaluate and set accurate reserves to reflect potential exposure.
• Ensure compliance with regulatory and jurisdictional requirements across multiple states (CA OR WA AZ ID NV).
• Collaborate with defense counsel independent adjusters and other third parties to resolve claims effectively.
• Provide proper documentation and reporting of all claims handling activities.
• Maintain a high level of service to internal and external business partners.
• Stay updated on industry regulations and best practices.

Qualifications/Requirements

• Minimum of 5 years of experience handling Workers Compensation claims including lost time serious injury and litigated cases.
• Strong knowledge of claims investigation reserving principles and negotiation techniques.
• Licensed to handle California Workers Compensation claims; SIP certification is a plus.
• Experience in the construction forestry logging or oil and gas industries is highly desirable.
• Ability to manage multiple tasks and prioritize workload effectively.
• Excellent judgment decision-making and communication skills.
• Service-oriented mindset with a commitment to providing prompt and effective claims and customer service.
• Willingness to travel as needed including potential overnight stays.

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