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Workers Compensation Claims Adjuster III (REMOTE)

Remote:

Full Remote

Contract:

Full time

Salary:

75 - 75K yearly

Experience:

Mid-level (2-5 years)

Work from:

Canada, California (USA), United States

Offer summary

Qualifications:

Bachelor's Degree or equivalent experience, SIP Licensure required, 5+ years claims handling experience, 7 years related experience or training, Bilingual preferred.

Key responsabilities:

Manage and adjudicate complex claims
Perform three-point contact for new losses
Document case facts and establish compensability
Ensure up-to-date action plans for claims
Collaborate with medical case manager for outcomes

The Jonus Group

51 - 200 Employees

See more The Jonus Group offers

Job description

Job Description

The Workers Compensation Claims Adjuster III will be responsible for managing and adjudicating complex workers compensation claims. This role requires advanced knowledge and expertise in handling various types of claims, ensuring compliance with state regulations, and providing excellent customer service to claimants and stakeholders.

Salary/Benefits

$75,000 - $80,000K + Year (based on experience)
PTO Days
401(k)
Health, Dental and Vision

Job Description

Will be handling an Agriculture account
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.

Requirements

Required Licensure: SIP
Bachelor’s Degree or at least seven years related experience and/or training; or equivalent combination of education and experience
5+ years of claims handling experience.
Bilingual is a plus!