Intercare Holdings Insurance Services

Claims Adjuster II

Intercare Holdings Insurance Services

full-time

Posted on:

Location Type: Hybrid

Location: GlendaleCaliforniaUnited States

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About the role

  • Reports directly to the unit Claims Supervisor.
  • Responsible for effectively managing to conclusion an assigned inventory of claim files.
  • Perform a three-point contact on all new losses within 24 hours of receipt of the claim.
  • Document relevant facts surrounding the incident itself as well as disability and treatment status.
  • Gather evidence regarding ongoing case facts and relevant information necessary for establishing compensability.
  • Form a partnership with the medical case manager to maximize early return to work potential.
  • Initiate the referral to the SIU of cases with suspected fraud.
  • Review and approve all vocational rehabilitation plans.
  • Establish, monitor, and adjust monetary case reserves when warranted.

Requirements

  • Bachelor’s degree (B. A.) or equivalent from four-year college or; or 3-5years related experience& training, 5 years without a SIP certificate, or equivalent combination of education and experience.
Benefits
  • WFH Flexible 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords

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Hard Skills & Tools
claims managementcase documentationevidence gatheringvocational rehabilitationmonetary case reserves
Soft Skills
communicationpartnership buildingproblem-solvingorganizational skills
Certifications
Bachelor's degreeSIP certificate