Workers' Compensation Claims Adjuster Job at Buzzclan, San Bernardino, CA

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  • Buzzclan
  • San Bernardino, CA

Job Description

Summary:

Join our team as a Workers' Compensation Claims Adjuster, managing and investigating complex claims, including litigated cases involving continuous trauma, AOE/COE, stress, and safety claims. You'll assess reports, determine compensability, authorize benefit payments, and work closely with physicians, attorneys, and injured workers to ensure compliance with Workers' Compensation laws. Strong analytical and communication skills are essential, as well as experience preparing subrogation and litigation cases. This role requires three years of recent claims adjusting experience, including one year handling complex litigated claims. Ideal for professionals with expertise in workers' compensation laws and claims resolution.

Job Description:

WORKERS COMPENSATION: Three (3) years of experience, within the last five (5) years, adjusting workers' compensation claims, including one (1) year adjusting complex litigated claims, such as continuous trauma, AOE/COE, stress claims, and safety claims.

  • Ability to review Workers' Compensation claims, and reports and determine if occupational illness or injury is compensable; authorize and compute benefit payment (Temporary Total Disability, Permanent Disability, Life Pension).
  • Ability to review and document claim reports from physicians, ability to investigate claims from onset to resolution.
  • Ability to explain to injured workers their benefits and legal rights under Workers' Compensation Laws.
  • Ability to prepare subrogation and litigation cases and correspond with doctors and attorneys on litigated cases.

Job Tags

Permanent employment, Full time, Temporary work, Part time, Internship, Seasonal work,

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