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Workers’ Compensation Claim Adjuster
| Company | CCMSI |
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| Location | Scottsdale, AZ, USA |
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| Salary | $83000 – $90000 |
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| Type | Full-Time |
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| Degrees | |
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| Experience Level | Mid Level, Senior |
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Requirements
- 3+ years of experience handling California lost time workers’ compensation claims.
- Strong working knowledge of California workers’ compensation laws and procedures.
- Excellent written and verbal communication skills.
- Ability to multi-task in a fast-paced, remote work environment.
- Proficiency in Microsoft Office (Word, Excel, Outlook).
Responsibilities
- Investigate, evaluate, and adjust California lost time workers’ compensation claims in accordance with corporate standards and state regulations.
- Handle multiple client accounts within the PEO industry, tailoring claim strategies to their unique needs.
- Establish and recommend reserves within designated authority levels.
- Review and approve medical, legal, and indemnity-related invoices.
- Negotiate settlements aligned with client-specific guidelines and state regulations.
- Maintain a detailed claim diary and provide timely status updates.
- Calculate disability rates and ensure compliance with California jurisdictional laws.
- Communicate effectively with clients, injured workers, attorneys, and medical providers.
- Participate in claim reviews, mediations, and hearings as needed.
Preferred Qualifications
- California Self-Insurance Plan (SIP) certification.
- Experience attending claim reviews, mediations, or hearings.
- Prior experience working within the PEO industry.
