Job Openings in Sacramento County and Beyond

Workers Compensation Claims Adjuster

Sacramento, California | Temporary Position

Post Date: 07/19/2017 Job ID: 38497.1 Industry: Human Resources
We are recruiting an experienced Workers Comp Claims Adjuster/Specialist for a large regional organization in the Sacramento area. The Workers Comp Claims Adjuster/Specialist will manage workers' compensation claims from time reported until resolution. Must be able to work in a team environment and partner with providers, Occupational Health and Risk Management to ensure integration of claim issues. Responsibilities: Ensures the accurate, timely, and appropriate delivery of workers' compensation benefits in accordance with California laws. Manages the full scope of each assigned workers' compensation indemnity claim from the initial report to closure in a cost-effectivemanner and in compliance with the clients' requirements and quality standards. Ensures timely assessment of the incoming claims, paying special attention to the need for investigation. Directs and completes an investigation including taking witness statements. When necessary, refers for outside investigation. Assures and directs appropriate medical care and litigation management. Directs and controls medical care within the parameters of theworkers' compensation laws to ensure the quality of care and facilitate return to work. Assures accurate and timely maintenance of reserving and excess reporting. Must be familiar with each year's excess policy and reporting guidelines. Requirements: 5+ year's experience as a senior Workers Compensation Claims adjuster and specialist. Must have proven experience in managing the in and out complexities of the workers compensation systemas well state mandated time frames. Strong attention to detail and highly organized. Excellent Customer Service and possess necessary critical thinking skills.

Elizabeth Mann

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