Workers Compensation Claims Adjuster – Senior
Intercare Holdings Insurance Services
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $85,000 - $100,000 per year
About the role
- Manage an assigned inventory of claim files, including complex cases
- Perform three-point contact on all new losses within 24 hours
- Document ongoing case facts and relevant information
- Ensure all assigned indemnity claims have an up-to-date plan of action
- Form partnership with medical case manager for early return to work
- Initiate referrals to SIU for suspected fraud
- Aggressively pursue subrogation from culpable third parties
- Review and approve all vocational rehabilitation plans
- Establish, monitor, and adjust monetary case reserves when warranted
- Review medical bills for appropriateness before referral for payment
- Exhibit courteous attitude and project a professional image
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
- Requires a high degree of claims handling expertise including at least five years experience managing indemnity cases
- Must possess an SIP certificate
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 claims managementsubrogationvocational rehabilitationcase reserves managementmedical bill reviewcase documentationfraud investigation
Soft Skills
communicationprofessionalismcourtesypartnership buildingproblem-solving
Certifications
SIP certificate