Workers Compensation Claims Adjuster – III
Intercare Holdings Insurance Services
full-time
Posted on:
Location Type: Hybrid
Location: Rocklin • California • United States
Visit company websiteExplore more
Salary
💰 $90,000 - $100,000 per year
About the role
- Perform a three-point contact on all new losses within 24 hours of receipt
- Thoroughly and accurately document ongoing case facts and relevant information
- Assure that all assigned indemnity claims have an up to date plan of action outlining activities
- 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
- Aggressively pursue subrogation from culpable third parties
- Assure that the claim file is handled in accordance with applicable statutes and guidelines
- Review and approve all vocational rehabilitation plans
- Establish, monitor, and adjust monetary case reserves when warranted
- Review all medical bills for appropriateness prior to referral for payment
- Maintain a courteous and professional image on behalf of the company
- Respond to inquiries within specified times
Requirements
- Bachelor's degree (B. A.) from four-year college or university
- At least seven years related experience and/or training
- Equivalent combination of education and experience
- Minimum of at least five years experience managing indemnity cases
- Claims handling expertise
- Possess an SIP certificate
- Working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims
Benefits
- Comprehensive medical, dental, and vision benefits
- Company contributions to HSA and FSA plans
- Employer paid life and disability insurance
- 401(k) with company match
- Paid time off (PTO) and company paid holidays
- Learning and development opportunities that support real career advancement
- Employee assistance resources and a supportive culture that values balance and wellbeing
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims handlingindemnity case managementsubrogationvocational rehabilitationcase documentationmonetary case reservesfraud investigation
Soft Skills
communicationprofessionalismpartnership buildingcourtesytime management
Certifications
SIP certificate