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: Apply tot his job Apply To this Job