Company

Sunrise SystemsSee more

addressAddressLos Angeles, CA
type Form of workContractor
CategoryHuman Resources

Job description

Job Title: Claims Adjuster - Workers Compensation
Location: Los Angeles, CA 90071
Duration: 6 months
Position Type: Hourly contract Position (W2 only)
 
NOTE:
  • Job schedule-Hybrid 3/2-in office Tuesday, Thursday, and Friday
  • Job hours-8:30am-5:00pm -30-minute lunch
  • Training-During training candidate should be in offer 40 hours for two weeks. Will revert to Hybrid schedule once manager gives approval.
  • Interview process-one interview WEBEX
  • We do not offer parking - Parking-Lots are near location or Public Transportation
Summary:
  • The main function of a Claims Adjuster is to investigate, analyze, and determine the extent to which an insurance company is liable and to determine how much compensation is needed/required.
Job Responsibilities:
  • Analyze first reports of injury to determine nature of injury and what benefits are owed based on the statute.
  • promptly contact insureds, injured workers, and medical providers.
  • Maintain contact with insured, injured workers or their representative, and providers for the duration of their claim and promptly update all parties as their claim develops.
  • Promptly and properly develop the file to provide accurate and timely investigation and loss analysis.
  • Strict adherence to jurisdiction rules regarding form notices to injured worker, insured and state court.
  • Timely and appropriately calculated benefits paid in accordance with jurisdiction.
  • Maintain an active diary; monitor diary to achieve timely development of file and timely disposition of the claim.
  • Recognize and pursue recovery where possible; adhere to all statutory regulations and unfair claim practices act.
  • Effectively communicate with all internal and external customers,
Skills:
  • Knowledge of insurance contracts, investigative techniques, legal requirements, and regulations.
  • Ability to work with a wide spectrum of people.
  • Develop and maintain strong business relationships with internal and external customers.
  • Ability to calculate statutory benefits owed and understand formulaic math
  • Ability to work within tight deadlines.
  • Strong organizational skills to respond to inquiries from a variety of sources.
  • Excellent written and verbal communication skills.
  • Customer service orientation; strong analytical and negotiation skills.
Education/Experience:
  • At least 3 years handling CA workers’ compensation claims would be wanted. Hiring manager needs someone who can come in and handle a caseload with an eye to resolving cases.
The hourly rate for this position is between $40-$45 per hour.
 
Compensation:
Factors which may affect starting pay within this range may include [geography/market, skills, education, experience and other qualifications of the successful candidate].
Contact:
Abdul Ajeej: 732-272-0361 & Email: Abdul.A@sunrisesys.com

#currentjobs
 
Refer code: 8499523. Sunrise Systems - The previous day - 2024-03-08 11:13

Sunrise Systems

Los Angeles, CA
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