Senior Claims Adjuster, Workers' Compensation job at CopperPoint Insurance Company in CA

Sr. Claims Adjuster, Workers' Compensation Job Category: Insurance Claims Adj Requisition Number: SRCLA002070 Full-Time Locations California, USA Job Details Description CopperPoint Insurance Company has an exciting opportunity for a full-time remote Sr. Claims Adjuster, Workers' Compensation. The Sr. Claims Adjuster, Workers' Compensation will investigate, manage, and resolve claims in a timely, unbiased, and informed manner in compliance with policies, state laws, and regulatory performance standards. Job responsibilities: Knowledge of policy documents for coverage verification. Provide account servicing support on claim issues to policyholders including travel as required. Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements. When necessary, attend In-Person meetings with injured workers, employers, and medical providers When necessary, assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action. Follow up with injured workers, policyholders, and medical providers to monitor progress. Consult with attorneys regarding litigation management, settlement strategy, and claim resolution. Maintain electronic files necessary for documentation of the claim file including coding, contacts, financial data, and plan of action. Review reserves for appropriateness and file timely reports on all serious loss claims as required by ANIC policy and regulatory standards. Promote the team approach to case and account management. Perform other duties as assigned. Bilingual in Spanish preferred, pay differential available. Qualifications/Competencies: High school graduate, Bachelor’s degree preferred 5 years or greater of Workers’ Compensation adjusting experience In-depth knowledge of Workers’ Compensation laws Knowledge of medical and legal terminology and procedures General computer skills Excellent written and verbal communication skills Strong interpersonal skills Effective negotiation skills Ability to prioritize workload to meet deadlines Ability to work well in a team environment Benefits: Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee’s annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year. Salary Range: $85,000.00 - $105,000.00 annually Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus. Apply tot his job Apply To this Job