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databases excel microsoft office claims management software📋 Description
- Investigates workers' comp claims; determines coverage, compensability, severity.
- Calculates and adjusts reserves per guidelines.
- Administers benefits per statutory requirements; timely notices/filings.
- Develops/updates a Plan of Action for claim resolution.
- Makes prompt decisions; escalates issues per policy.
- Coordinates actions of attorneys, nurse case managers, and investigators to resolve claims.
🎯 Requirements
- High School diploma or equivalent; Bachelor's degree preferred.
- CA Claims Adjuster designation; Self-Insured certification a plus.
- Min. 3 years indemnity adjusting for large/complex CA WC claims.
- Maintains required CA WC adjustment criteria; Self-Insured certification preferred.
- Inquisitive, critical thinker with adaptive time management.
- Proficient in Microsoft Office (Excel highly) and databases/vendor software.
🎁 Benefits
- Work-Life Balance
- Work From Home Program (up to 2 days/week)
- In-house Medical Management support
- Free On-Site Parking
- Paid Time Off and Holidays
- Group Health Insurance (Medical, Dental, Vision)
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