Claims Adjuster I - California
Company: EIG Services, Inc
Location: Reno
Posted on: October 11, 2024
Job Description:
Location: United States
Requisition Number: req15
Workers' Compensation Claims Adjuster I California - 100% Remote
Opportunity (West Coast Hours M-F 8am-5pm PDT / M-F 11am-8pm
EDT)General Summary:Under direct supervision, the Claims Adjuster I
is responsible for timely and accurate management of workers'
compensation claims with low to moderate medical and indemnity
benefit exposure and minimal litigation.Essential Duties and
Responsibilities:
- Receives and reviews new claims involving low to moderate
medical, indemnity and occasional legal exposure. Caseload may
include complex Medical Only claims.
- Completes initial contacts to obtain necessary information,
verify coverage, determine compensability and develop a plan of
action. Completes and maintains accurate claim system data.
- Analyzes case facts to establish timely reserves using and
building knowledge of medical-related costs and judgment about
extent of disability.
- Provides timely and appropriate customer service within
established best practices. Maintains ongoing professional
communications with all internal and external customers.
- Accurately evaluates and pays benefits in compliance with
statutory and company guidelines. Files appropriate state forms, as
needed.
- Proactively coordinates or monitors medical treatment to
continue to move the claim forward. Uses resources, internal and
external, to contain costs and manage exposure.
- Working with supervisor, reviews and analyzes some legal
issues. In collaboration with defense attorneys, proactively
handles and mitigates exposure to litigation and prices up claims
for minor settlements.
- Regularly reviews caseload and proactively takes action to
guide claims efficiently and effectively to closure.
- Other duties may be assigned. Job Requirements:
- Excellent communication and customer service skills and
knowledge of an imaged environment.
- Self-motivated with excellent analytical, problem solving and
decision-making skills. Strong ability to multi-task and
prioritize.
- If state certification or license is required, must meet
certification within state-mandated timeframe and maintain any
required license through continuing education.
- Must have High School Diploma or GED equivalent. Preferred but
not required:
- One to two years of related claims, medical, legal or insurance
industry experience preferred. Knowledge of workers' compensation
laws, regulations and statutes preferred.
- Bachelor's degree or equivalent business experience
preferred.
- WCCP, AIC, ARM, CPCU or other insurance certification a plus.An
equivalent combination of education and experience may be
substituted for the requirements listed above.Salary Range: $40,000
- $58,000 and a comprehensive benefits package. Please follow the
link to our benefits page for details!
https://www.employers.com/careers/our-benefits-and-perks/Work
Environment:
- Remote: This role is remote, and only open to candidates
currently located in the United States and able to work without
sponsorship.
- It requires a suitable space that provides a private and quiet
workplace.
- Expected Work Hours: Schedules are set to accommodate the
requirements of the position and the needs of the organization and
may be adjusted as needed.
- Travel: May be required to travel to off-site location(s) to
attend meetings, as necessary EMPLOYERS is a dynamic, fast-growing
provider of workers' compensation insurance and services, we are
seeking a goal-oriented individual willing to put their ideas to
work! We offer a positive, challenging work environment, combined
with an opportunity to build your career as you help us grow our
business, in innovative and imaginative ways that are uniquely
EMPLOYERS!Headquartered in Nevada, EMPLOYERS attributes its
long-standing success to its most valuable resource, our employees
across the United States. EMPLOYERS is known for the quality
service and expertise we provide to our clients, and the exemplary
work environment we provide for our employees.We live and breathe
our core values: Integrity, Customer Focus, Collaboration,
Initiative, Accountability, Innovation, and Personal Fulfillment.
These are the pillars that support how we do business with our
clients as well as how we treat each other!At EMPLOYERS, you'll
discover an energetic environment that inspires top achievement. As
"America's small business insurance specialist", we have the
resources, a solid reputation, and an expanding nationwide identity
to enrich your work/life and enhance your career. #LI-Remote
HP22
Compensation details: 40000-58000
PI8429bd5bb41e-37248-35724852
Keywords: EIG Services, Inc, Folsom , Claims Adjuster I - California, Other , Reno, California
Didn't find what you're looking for? Search again!
Loading more jobs...