Workers Compensation Adjuster - Orange

Reports directly to the unit Claims Supervisor and is responsible for managing to conclusion an assigned inventory of claim files, including cases of extreme complexity or with unique or unusual issues.

Requirements

• Three-point contact on all new losses within 24 hours of receipt of the claim
• Thoroughly and accurately document ongoing case facts and relevant information
• Initiate the referral to the SIU of cases with suspected fraud
• Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability
• Review and approve all vocational rehabilitation plans
• Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels
• Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file

Benefits

• Customer Service
• Team Work
• Problem Solving
• Interpersonal