Claims Adjuster

Description

Job schedule-40 hours on site

Job hours-8:00-4:30

Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and permanent impairment.

Job Responsibilities

bull Analyze first reports to determine nature of loss coverage provided and scope of injuries

bull Promptly contact insureds to properly develop the file to provide accurate and timely investigation and loss analysis.

bull Maintain an active diary monitor diary to achieve timely development of file and timely disposition of the claim

bull Recognize and pursue recovery where possible adhere to all statutory regulations and unfair claim practices act

bull Effectively communicate with all internal and external customers.

bull Strick adherence to jurisdiction rules regarding form notices to injured worker insured and state court

Skills

bull Knowledge of California workers' compensation claim handling investigative techniques legal requirements and regulations.

bull Ability to work with a wide spectrum of people

bull Develop and maintain strong business relationships with internal and external customers

bull Excellent written and verbal communication skills Customer service orientation strong analytical and negotiation skills

Requirements

Education/Experience:

bull High school diploma or Bachelor's degree

bull 5 years experience required handling Workers Compensation handling California Claims

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