- Analyze first reports of injury to determine nature of injury and what benefits are owed based on the statute promptly contact insureds, injured workers and medical providers.
- Maintain contact with insured, injured workers or their representative, and providers for the duration of their claim and promptly update all parties as their claim develops.
- Promptly and properly develop the file to provide accurate and timely investigation and loss analysis.
- Strict adherence to jurisdiction rules regarding form notices to injured worker, insured and state court
- Timely and appropriately calculated benefits paid in accordance with jurisdiction
- Maintain an active diary; monitor diary to achieve timely development of file and timely disposition of the claim;
- Recognize and pursue recovery where possible; adhere to all statutory regulations and unfair claim practices act;
- Effectively communicate with all internal and external customers,
- Workers compensation claims, California claims, insurance contracts
- 5 years' Claims Adjuster - Workers Compensation experience handling California Claims
- Knowledge of insurance contracts, investigative techniques, legal requirements and regulations. No licenses needed
- Ability to work with a wide spectrum of people;
- Develop and maintain strong business relationships with internal and external customers;
- Ability to calculate statutory benefits owed and understand formulaic math
- Ability to work within tight deadlines
- Strong organizational skills to respond to inquiries from a variety of sources
- Excellent written and verbal communication skills;
- Customer service orientation; strong analytical and negotiation skills.
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Claims Adjuster - Los Angeles, United States - Aston Carter
Description
Description:
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:
Skills:
Top Skills Details:
Workers compensation claims, california claims, insurance contracts
Additional Skills & Qualifications:
Education/Experience:
Skills:
About Aston Carter:
Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.
At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
