Related skills
databases excel microsoft office vendor software📋 Description
- Investigates claims via three-point contact; determines coverage and severity.
- Calculates reserves per claim; adjusts under authority guidelines.
- Calculates benefits per statutory requirements; issues notices.
- Develops plan of action for resolution; updates plan with new information.
- Makes prompt decisions; escalates red flags to supervisor.
- Coordinates actions of involved professionals to resolve claims.
🎯 Requirements
- High School diploma required; Bachelor's degree preferred.
- CA Claims Adjuster designation per CA regs; Self-Insured cert a plus.
- 3+ years indemnity adjusting in workers' compensation.
- Maintains CA WC adjuster qualifications; Self-Insured cert preferred.
- Inquisitive, critical thinker; adaptive time management.
- Proficient in MS Office (Excel preferred); databases and vendor software.
🎁 Benefits
- Work-Life Balance
- Work From Home Program (up to 2 days per week)
- Reasonable caseload with in-house Medical Management support
- Free On-Site Fitness Facility
- Free On-Site Garage Parking
- Paid Time Off
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