What are the responsibilities and job description for the Claims Adjuster - Workers Compensation position at Sunrise Systems?
Job Title: Claims Adjuster - Workers Compensation
Location: Los Angeles, CA 90071
Duration: 6 months
Position Type: Hourly contract Position (W2 only)
NOTE:
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
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
- 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.
- 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,
- 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.
- 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.
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
Salary : $40 - $45
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