Workers Compensation Claims Adjuster | Rancho Cucamonga, Ca
SEDGWICK
Rancho Cucamonga, CA, US
$70,000-$80,000pyr; not specified; medical, dental...
Hybrid
Workers compensation claims handling
Determine benefits due
Ensure ongoing adjudication
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements
Job Summary
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
Manages workers’ compensation claims, including determining compensability and benefits, developing action plans, monitoring reserve accuracy, and ensuring timely resolution in accordance with claim or client contracts.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Matching Summary
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
Salary
$70,000-$80,000/yr; Not specified; medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
Skills & Requirements
Must-have
Workers compensation claims handling
Determine benefits due
Ensure ongoing adjudication
Identify subrogation
Negotiate settlements
Communicate claim activity
Nice-to-have
Caring counts model
Empathy, accountability, collaboration
Growth and inclusion
Innovative customer-facing solutions
Global industry leader
Key Requirements
4 years of claims management experience
High School Diploma or GED
California workers' compensation claims handling experience