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    Workers Compensation Claims Adjuster III - Los Angeles, United States - The Jonus Group

    The Jonus Group
    The Jonus Group Los Angeles, United States

    4 weeks ago

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    Description
    Job 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 closely with injured employees, employers, medical providers, and legal representatives to ensure timely and fair claim resolution while minimizing costs and risks for our clients.

    Job Description

    • Will be handling (Public Entity).
    • Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident itself as well as disability and treatment status.
    • Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
    • Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
    • Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
    • Initiate the referral to the SIU of cases with suspected fraud.

    Salary/Benefits

    • $40 - $45/Hourly
    • Hybrid (2 days a week)

    Requirements

    • Bachelors Degree or at least seven years related experience and/or training; or equivalent combination of education and experience
    • 5+ years of claims handling experience.
    • Required Licensure: SIP
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