California Licensed Claims Adjuster

Job Summary

Managing an assigned inventory of claim files, the full-time California Licensed Claims Adjuster will perform thorough investigations on new claims, collaborate with medical case managers to facilitate early return to work, and ensure compliance with applicable statutes in a hybrid remote environment.

Key responsibilities:

• Conduct three-point contact on new claims within 24 hours to gather relevant incident and treatment information
• Develop and maintain an up-to-date plan of action for all assigned indemnity claims to ensure timely resolution
• Review and approve vocational rehabilitation plans while managing litigation processes and pursuing subrogation when necessary

Required qualifications:

• Bachelor's degree or equivalent experience (3-5 years related experience with a SIP certificate, or 5 years without)
• Working knowledge of the California Labor Code as it pertains to workers' compensation claims
• Experience in managing claims and understanding legal requirements for handling them
• Ability to demonstrate problem-solving and customer service skills in challenging situations
• Strong interpersonal skills and ability to work collaboratively within a team environment