Claims Adjuster I - California
Company: EIG Services, Inc
Location: Las Vegas
Posted on: May 7, 2025
Job Description:
Requisition Number: req132Workers' Compensation Insurance Claims
Adjuster I - California - 100% Remote Opportunity (WFH)General
SummaryUnder direct supervision, the Workers Compensation Claims
Adjuster I is responsible for timely and accurate management of
workers' compensation claims with low to moderate medical and
indemnity benefit exposure and minimal litigation.Must work west
coast hours (M-F 8am-5pm PST) and have experience adjusting
CALIFORNIA work comp claimsEssential Duties and
Responsibilities
- Receives and reviews new claims involving low to moderate
medical, indemnity and occasional legal exposure. Caseload may
include complex Medical Only claims.
- Completes initial contacts to obtain necessary information,
verify coverage, determine compensability and develop a plan of
action. Completes and maintains accurate claim system data.
- Analyzes case facts to establish timely reserves using and
building knowledge of medical-related costs and judgment about
extent of disability.
- Provides timely and appropriate customer service within
established best practices. Maintains ongoing professional
communications with all internal and external customers.
- Accurately evaluates and pays benefits in compliance with
statutory and company guidelines. Files appropriate state forms, as
needed.
- Proactively coordinates or monitors medical treatment to
continue to move the claim forward. Uses resources, internal and
external, to contain costs and manage exposure.
- Working with supervisor, reviews and analyzes some legal
issues. In collaboration with defense attorneys, proactively
handles and mitigates exposure to litigation and prices up claims
for minor settlements.
- Regularly reviews caseload and proactively takes action to
guide claims efficiently and effectively to closure.
- Other duties as assigned.Certification
- If state certification or license is required, must meet
certification within state-mandated timeframe and maintain any
required license through continuing education.
- WCCP, AIC, ARM, CPCU or other insurance certification a
preferred.Education
- Must have High School Diploma or GED equivalent.
- Bachelor's degree or equivalent business experience
preferred.Work Environment:
- Remote: This role is a remote (work from home (WFH)
opportunity, and only open to candidates currently located in the
United States and able to work without sponsorship.
- It requires a suitable space that provides a private and quiet
workplace.
- Expected Work Hours: Schedules are set to accommodate the
requirements of the position and the needs of the organization and
may be adjusted as needed.
- Travel: May be required to travel to off-site location(s) to
attend meetings, as necessarySalary Range: $40,000- 65,000 and a
comprehensive benefits package, please follow the link to our
benefits page for details! About EMPLOYERSAs a dynamic,
fast-growing provider of workers' compensation insurance and
services, we are seeking a goal-oriented individual willing to put
their ideas to work!We offer a positive, challenging work
environment, combined with an opportunity to build your career as
you help us grow our business, in innovative and imaginative ways
that are uniquely EMPLOYERS!Headquartered in Nevada, EMPLOYERS
attributes its long-standing success to its most valuable resource,
our employees across the United States. EMPLOYERS is known for the
quality service and expertise we provide to our clients, and the
exemplary work environment we provide for our employees.We live and
breathe our core values: Integrity, Customer Focus, Collaboration,
Initiative, Accountability, Innovation, and Personal Fulfillment.
These are the pillars that support how we do business with our
clients as well as how we treat each other!At EMPLOYERS, you'll
discover an energetic environment that inspires top achievement. As
"America's small business insurance specialist", we have the
resources, a solid reputation and an expanding nationwide identity
to enrich your work/life and enhance your career.
#LI-RemoteCompensation details: 40000-65000 Yearly
SalaryPIe0cf08e13183-37820-37263362
Keywords: EIG Services, Inc, Las Vegas , Claims Adjuster I - California, Other , Las Vegas, Nevada
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