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El Dorado Hills

    Remote-ca claims workers comp claim adjuster - El Dorado Hills, United States - Randstad

    Randstad
    Randstad El Dorado Hills, United States

    1 week ago

    Default job background
    Description

    Do you have at least 4 years of experience working and analyzing Workers Compensation Claims and decisioning on them in the State of California? Do you desire to continue doing what you love from the comfort of your own home? The role involves handling the more complex claims that involve litigation and rehabilitation. You will be gathering information, connecting with multiple touchpoints, analyzing the gathered information, documenting the findings with supporting facts, putting together action plans, and following them through. It is a great opportunity for the professional who has a minimum of 4 years of California Workers' Compensation Claims Representative experience and is looking for a 3-month plus work-from-home consulting opportunity.

    salary: $40 - $46.43 per hour
    shift: First
    work hours: 8 AM - 5 PM
    education: Bachelors

    Responsibilities

    Support the Workers' Compensation Claims Department dedicated to issuing timely, accurate benefit payments to customers and channel partners. You must have a minimum of 4 years of California Worker's Compensation Claims experience; ideally, you will also possess your Claims Adjuster CA certification.

    Accountabilities include:

    • Reviewing and processing complicated workers' compensation claims
    • Handling the high exposure claims involving litigation and rehabilitation action
    • Researching and analyzing legal information and facts gathered
    • Monitoring the course of claims investigations and utilizing resources to reach claim decisions
    • Thoroughly documenting claims decisions
    • Developing and coordinating compensation claims' action plans for resolution, return to work, and approval of payments
    • Investigating claims to make sure they are not fraudulent
    • Negotiating settlements
    • Managing records
    • Communicating the claim action plan with the claimant and client
    Skills
  • Client Service
  • Detail Orientation
  • Coordination
  • Confidentiality
  • Documentation Skills
  • Communication
  • Workers Compensation Reporting Claims
  • Disability Insurance
  • Social Security
  • Medicare Compliance
  • Microsoft Office (4 years of experience is required)
  • Analytical
  • Workers Compensation
  • Claims
  • CA Works Compensation (4 years of experience is required)
  • OSIP Certificate (4 years of experience is required)
  • Qualifications
  • Years of experience: 4 years
  • Experience level: Experienced
  • Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

    Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

    At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

    Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

    Applications accepted on ongoing basis until filled.

    Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

    We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.


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