Summary: The Workers Compensation Claims Adjuster role involves investigating and settling complex claims with minimal supervision, utilizing independent judgment to determine liability and coverage. The position requires managing investigative activities, preparing reports, and mentoring new hires while ensuring timely and equitable settlements. Candidates must possess a Bachelor's degree and relevant experience in claims management. The role is based in California and requires a Workers Compensation Adjuster License.

Responsibilities:

• Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
• Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
• Analyzes claims activity and prepares reports for clients/carriers and management.
• Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
• Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
• Develops subrogation and third party recovery potential and follows reclaim procedures.
• Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.

Key Skills:

• Bachelor's degree or equivalent experience required.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
• Ability to work independently while assimilating various technical subjects.
• Strong written and oral communication, negotiation and presentation skills.
• Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
• Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.

Salary (Rate): undetermined

City: undetermined

Country: United States

Working Arrangements: undetermined

IR35 Status: undetermined

Seniority Level: undetermined

Industry: Other