- 5+ years of claims management experience specifically in workers comp
- Bachelor's degree required
- Strong computer skills – MS office
- SIP HIGHLY preferred but not required
- Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
- Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
- Maintains professional client relationships.
-
Claims Adjuster
2 weeks ago
Sunrise Systems Los Angeles, United StatesJob Title: Claims Adjuster - Lost Time · Location: Los Angeles, CA 90071 · Duration: 6+ months contract to begin with · Position Type: Hourly contract Position (W2 only) · Job Description: · Note: Job Schedule-Hybrid-3 days in office Tuesday/Wed/Thursday, Flexible upon performanc ...
-
Claims Adjuster
2 weeks ago
Experis Los Angeles, United States ContractJoin Our Team: Claims Adjuster - Workers Compensation · Location: Los Angeles CA · Pay Range: $42-48/hr · What's the Job? · The main function of a Workers' Compensation Claims Adjuster is to investigate, analyse, and determine the extent of insurance company's responsibility for ...
-
Claims Adjuster
3 days ago
Hankey Group External Los Angeles, United StatesRemote / Claims · Pay Range: $60,000-$70,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, ex ...
-
Claims Adjuster
1 week ago
Georgia IT Inc Los Angeles, United StatesClaims Adjuster - Workers Compensation · Location: Los Angeles, CA. Hybrid-3 days in office Tuesday/Wed/Thursday , Flexible upon performance. Job Hours-8:00 am-4:30 am · Duration: 6 months · Job description · Summary: · The main function of a Claims Adjuster is to investig ...
-
Claims Adjuster
3 days ago
Manpower Group Inc. Los Angeles, United StatesJoin Our Team: Claims Adjuster - Workers Compensation · Location: Los Angeles CA · Pay Range: $42-48/hr · Whats the Job? · The main function of a Workers' Compensation Claims Adjuster is to investigate, analyse, and determine the extent of insurance company's responsibility f ...
-
Claims Adjuster
6 days ago
Knight Management Insurance Services Los Angeles, United StatesRemote / Claims · Pay Range: $60,000-$70,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, ex ...
-
Claims Adjuster
2 days ago
Experis Los Angeles, United StatesJoin Our Team: Claims Adjuster - Workers Compensation · Location: Los Angeles CA · Pay Range: $42-48/hr · What's the Job? · The main function of a Workers' Compensation Claims Adjuster is to investigate, analyse, and determine the extent of insurance company's responsibility ...
-
Claims Adjuster
2 weeks ago
Comptech Associates Los Angeles, United StatesJob Title: Claims Adjuster - Workers Compensation · Location: Los Angeles, CA · Duration: 4 Months · Job schedule: Hybrid (3 Days Onsite/2 Days Remote) · Job hours: 8:00am - 4:30pm · Interview Process - WEBEX prescreen/Then In-Person Interview · Summary: The main function of a Wo ...
-
Claims Adjuster
3 weeks ago
TSR Consulting Los Angeles, United StatesAbout TSR: · TSR is a relationship-based, customer-focused IT and technical services staffing company. · For over 40 years TSR, Inc. and its wholly owned subsidiary, TSR Consulting Services, have prospered in the Information Technology staffing business, earning the respect of co ...
-
Claims Adjuster
3 weeks ago
Comptech Associates Los Angeles, United StatesJob Title: Claims Adjuster - Workers Compensation · Location: Los Angeles, CA · Duration: 4 Months · Job schedule: On site · Job hours: 8:00am - 4:30pm · Interview Process - WEBEX prescreen/Then In-Person Interview · Summary: The main function of a Workers' Compensation Claims Ad ...
-
Claims Adjuster
3 weeks ago
Total Medical Staffing Los Angeles, United StatesJob Description · Job DescriptionPosition Title – Claims Adjuster - Workers Compensation · Address – Remote CA · Pay -- $51.43/HR · Start date – ASAP · Hours – 8a-5p · Contract Type – contract to possible hire · Vaccine Requirement – covid vax required · Required Skills & Educ ...
-
Claims Adjuster
1 week ago
Aston Carter Los Angeles, United States Contract to RegularDescription: · 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. · Job Responsibilities: · Analyze first reports of injury to d ...
-
Senior Claims Adjuster
3 days ago
Harrison Gray Search & Consulting Los Angeles, United StatesJob Description · Job DescriptionOur client is looking for a strong claims adjuster with a background in either worker's comp or bodily injury claims. This position is entirely remote. · Under general supervision, this position adjudicates Long Term Care Insurance claims. Work in ...
-
Claims Adjuster
3 weeks ago
ICONMA Los Angeles, United StatesAnalyze first reports to determine nature of loss, coverage provided, and scope of injuries · Promptly contact insureds to properly develop the file to provide accurate and timely investigation and loss analysis. · Maintain an active diary; monitor diary to achieve timely develop ...
-
Workers Comp Claim Adjuster
6 days ago
The Jacobson Group Inc. Los Angeles, United StatesOur client, the world's largest publicly traded property and casualty insurance company, is looking to bring on a Workers Compensation Claims Adjuster at their offices in Los Angeles for a three month assignment (with the possibility of extension). · Summary: · The main functio ...
-
Workers' Compensation Claims Adjuster
4 weeks ago
SPECTRAFORCE Los Angeles, United StatesTitle: Claims Adjuster - Workers Compensation · Location: Los Angeles CA USA On Site) · Duration: 3 Months (Temp to Perm) · Job hours-8:00-4:30 · Pay Range : $ /Hourly · Summary: · The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and deter ...
-
Claims Adjuster
1 week ago
Kaiser Permanente Downey, United States: Job Summary: · Reviews claims and makes payment and benefit determination. Conducts research as it relates to claims processing for medical appropriateness, and diagnosis, using ICD-9 codes and CPT codes as required. · Essential Responsibilities: · Reviews claims and makes paym ...
-
Senior Claims Adjuster
2 weeks ago
Harrison Gray Search and Consulting LLC Los Angeles, United StatesOur client is looking for a strong claims adjuster with a background in either worker's comp or bodily injury claims. This position is entirely remote. · Under general supervision, this position adjudicates Long Term Care Insurance claims. Work involves the interpretation of ins ...
-
Property Claims Adjuster
2 weeks ago
Tokio Marine Highland South Pasadena, United StatesWe are Precise Adjustments, Inc. - a full-service claims administration and adjustment company. We are a wholly owned company of Tokio Marine Highland, a leading property and casualty underwriting agency and a subsidiary of Tokio Marine Kiln, one of the largest carriers in the Ll ...
-
Workers Compensation Claims Adjuster III
2 weeks ago
The Jonus Group Los Angeles, United States Full timeJob Description · We are currently seeking a highly experienced and detail-oriented Workers Compensation Claims Adjuster III. In this role, you will be responsible for managing a portfolio of complex workers' compensation claims from inception to resolution. You will work closel ...
Claims Adjuster - Los Angeles, United States - Total Medical Staffing
Description
Job Description
Job DescriptionPosition Title – Claims Adjuster - Workers Compensation
Address – Remote CA
Pay $51.43/HR
Start date – ASAP
Hours – 8a-5p
Contract Type – contract to possible hire
Vaccine Requirement – covid vax required
Required Skills & Education:
Position Purpose:
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
Responsibilities:
