Careers

Workers Compensation Adjuster

(This position may be considered for a hybrid and 9/75 work schedule)

Job Description

• Respond to inquiries from the employer, employee, doctors, and attorneys
• Establish and maintain appropriate reserves
• Administer benefits and ensure appropriateness of all payments
• Discuss appropriateness of medical treatment with medical case manager
• Determine compensability
• Prepare and present file reviews to clients
• Document and code the claim files and claims system with all relevant information
• Maintain and update action plans within specified time frames
• Negotiate settlements
• Provides training and mentoring to Claims Examiners as needed
• Handles other duties and tasks as deemed appropriate by the Supervisor or Manager

Qualifications

• High school diploma or general education degree (GED), required
• California Self Insurance Administrator’s Certificate, required
• 3-5 years’ experience managing workers’ compensation indemnity cases

Interested candidates should email their resume to: info@eliteclaims.com.