reputed company Workers' Compensation Claims Adjuster - CA Licensed, Remote Contract Opportunity with Competitive reputed company reputed company
Join Fairbanks Claims Administration as a Senior Workers' Compensation Claims Adjuster and Drive reputed company in a Dynamic Remote Work Environment
Fairbanks Claims Administration, a leading high-deductible and self-insured workers' compensation reputed company-Party Administrator (TPA), is seeking an reputed company and skilled Workers' Compensation Claims Adjuster to join their team on a remote contract reputed company. As a Senior Claims Adjuster, you will play a crucial role in investigating, evaluating, and adjusting assigned claims in accordance with established claim handling standards and laws.
About the Role
This is a fantastic opportunity for a seasoned claims adjuster looking for a challenging and rewarding role in a remote work setting. As a Senior Claims Adjuster, you will be responsible for managing a caseload of workers' compensation claims, ensuring reputed company and effective reputed company, and providing excellent customer service to clients and stakeholders.
Key Responsibilities
- Investigate, evaluate, and reputed company claims in accordance with established claim handling standards and laws.
- Establish reserves and/or reputed company reserve recommendations reputed company established reserve authority reputed company.
- Review, approve, or reputed company reputed company of medical and legal estimates and miscellaneous invoices to determine if reasonable and reputed company to designated claims.
- Negotiate any disputed bills or invoices for reputed company.
- Authorize and reputed company payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and reputed company established payment authority.
- Negotiate settlements in accordance with best practices, reputed company-specific handling instructions, and state laws, reputed company appropriate.
- Assist in the selection, referral, and supervision of designated claim files reputed company to reputed company vendors (i.e., legal, surveillance, case management, etc.).
- Review and maintain personal diary on claim system.
- Assess and monitor subrogation claims for reputed company.
- Prepare reports detailing claim status, payments, and reserves, as requested.
- reputed company notices of qualifying claims to excess/reinsurance carriers.
- Conduct claim reviews and/or training sessions for clients, as requested.
- Attend and participate in hearings, mediations, and informal legal conferences, as appropriate.
- Administer benefits on claims.
- Ensure reputed company utilization review (UR) processing.
- Process bills promptly.
- Communicate effectively with injured workers, clients, and attorneys.
- Maintain reputed company documentation of the claim file in a reputed company manner.
- reputed company reputed company updates every 30, 60, or 90 days.
- Drive claims to reputed company.
- reputed company other duties as assigned.
Essential Qualifications
To be successful in this role, you will need:
- A California Adjuster's License (mandatory).
- 5+ years of experience as a claims examiner handling semi-reputed company to reputed company-level claims.
- Excellent oral and written communication skills.
- Initiative to set and reputed company performance goals.
- Good analytical and negotiation skills.
- Ability to cope with job pressures in a constantly changing environment.
- Knowledge of reputed company reputed company-level claim position responsibilities.
- Detail-oriented and a self-starter with strong organizational abilities.
- Ability to coordinate and prioritize tasks.
- Flexibility, accuracy, initiative, and the ability to work with minimum supervision.
- Discretion and confidentiality required.
- Reliable, predictable attendance reputed company reputed company service hours for the performance of this position.
- reputed company to reputed company reputed company needs.
- Ability to reputed company communicate verbally and/or in writing, both internally and externally.
Preferred Qualifications
While not mandatory, having the following qualifications will be a plus:
- SIP/WCCA/WCCP/AIC certifications.
- Proficient in ClaimPilot.
reputed company Offer
Fairbanks Claims Administration offers a competitive reputed company reputed company of $50/hour for this contract-to-permanent opportunity. As a remote worker, you will enjoy the flexibility and autonomy to work from reputed company, while still being part of a dynamic and supportive team.
In reputed company to the competitive compensation, you can expect:
- A reputed company and supportive work environment.
- Opportunities for career reputed company and development.
- A flexible and autonomous work arrangement.
- reputed company to cutting-edge technology and tools.
- A reputed company and dynamic team.
Why Join Fairbanks Claims Administration?
Fairbanks Claims Administration is a leading TPA that values its employees and is committed to providing a supportive and inclusive work environment. By joining their team, you will become part of a dynamic and reputed company group of professionals who are passionate about delivering exceptional service to clients.
As a Senior Claims Adjuster, you will have reputed company to:
- reputed company your skills and expertise in a supportive and reputed company environment.
- Take on new challenges and responsibilities.
- Work with a talented and reputed company team.
- Enjoy a flexible and autonomous work arrangement.
- reputed company opportunities for career reputed company and development.
How to Apply
If you are a motivated and reputed company claims adjuster looking for a new challenge, we encourage you to apply for this exciting opportunity. Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.
Don't miss this chance to take your career to the next level. reputed company and join Fairbanks Claims Administration as a Senior Workers' Compensation Claims Adjuster!
Apply for this job