Workers Compensation Claims Representative managing claims independently with minimal oversight. Conducting thorough investigations and negotiating settlements for insured parties in a hybrid work environment.
BC
Hybrid Senior Workers' Compensation Claims Adjuster
Posted last month
About the role
- Senior Workers' Compensation Claims Adjuster handling loss time claims across jurisdictions. Working primarily in California and managing investigations and litigation.
Responsibilities
- Handle loss time complex level claims throughout multiple jurisdictions with a heavy concentration in California.
- Determine compensability and/or coverage issues for workers’ compensation loss time claims
- Negotiate and complete settlements under management’s review
- Gather medical and factual evidence
- Coordinate and direct the activities of outside investigation
- Manage outside counsel and litigation within given authority
- Communicate daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
- Complete timely and efficient claims handling responsibilities
Requirements
- 3+ years of CA loss time workers compensation experience including litigated claims is required
- Flexibility and positive attitude a must
- Ability to learn claims handling procedures in multiple states as needed
- Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
- Shows positive attitude toward GUARD and claims department
- Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
- Innovative thinker with the ability to multi-task
- Excellent verbal and written communication skills
- Bachelor’s degree or an equivalent combination of education and experience preferred
- Active adjuster license
Benefits
- Competitive compensation
- Healthcare benefits package that begins on first day of employment
- 401K retirement plan with company match
- Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
- Up to 6 weeks of parental and bonding leave
- Hybrid work schedule (3 days in the office, 2 days from home)
- Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
- Tuition reimbursement after 6 months of employment
- Numerous opportunities for continued training and career advancement
- And much more!
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