California Workers' Compensation Adjuster

Job Summary

Managing all aspects of workers' compensation medical only claims, the remote Medical Only Claims Adjuster will ensure quality claim file management and compliance with regulatory requirements while delivering excellent customer service.

Key responsibilities

• Independently handle medical only claims from set-up to closure, including timely investigations and compensability decisions
• Serve as a point of contact for partner agents and customers, providing claim guidance and status updates
• Proactively identify claim mitigation opportunities and advocate for a leading claims customer experience

Required qualifications

• High School Diploma or equivalent required; Bachelor's Degree or equivalent experience preferred
• Minimum 1 year of workers' compensation claims experience as a Medical Only Adjuster required
• Experience handling claims in California for at least 1 year is required
• Proficient in using G-Suite Tools and collaboration tools like Slack preferred
• Demonstrated knowledge and experience in claim adjudication and medical management