sunrise systems
Job Title: Claims Adjuster – Workers Compensation
Job Id: 23-02002
Location: Los Angeles, CA 90071
Duration: 6 months
Position Type: Hourly contract Position (W2 only)
- Hours Per Day:8,Hours Per Week:40
- Job Schedule-Hybrid-3 days in office Tuesday/Wed/Thursday , Flexible upon performance
- Job Hours-8:00am-4:30am
- Interview process-one interview with Marie Daniels
Summary:
The main function of a Claims Adjuster is to investigate, analyze, and determine the extent to which an insurance company is liable and to determine how much compensation is needed/required.
5 years’ Claims Adjuster – Workers Compensation experience handling California Claims
Job Responsibilities:
- Analyze first reports of injury to determine nature of injury and what benefits are owed based on the statute.
- promptly contact insureds, injured workers and medical providers.
- Maintain contact with insured, injured workers or their representative, and providers for the duration of their claim and promptly update all parties as their claim develops.
- Promptly and properly develop the file to provide accurate and timely investigation and loss analysis.
- Strict adherence to jurisdiction rules regarding form notices to injured worker, insured and state court
- Timely and appropriately calculated benefits paid in accordance with jurisdiction
- Maintain an active diary; monitor diary to achieve timely development of file and timely disposition of the claim;
- Recognize and pursue recovery where possible; adhere to all statutory regulations and unfair claim practices act;
- Effectively communicate with all internal and external customers,
Skills:
- Knowledge of insurance contracts, investigative techniques, legal requirements and regulations. No licenses needed
- Ability to work with a wide spectrum of people;
- Develop and maintain strong business relationships with internal and external customers;
- Ability to calculate statutory benefits owed and understand formulaic math
- Ability to work within tight deadlines
- Strong organizational skills to respond to inquiries from a variety of sources
- Excellent written and verbal communication skills;
- Customer service orientation; strong analytical and negotiation skills.
Education/Experience:
- 5 years’ Claims Adjuster – Workers Compensation experience handling California Claims
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