14 Claims Adjuster Jobs in Los Angeles, CA
Sunrise Systems is Hiring a Claims Adjuster Near Los Angeles, CA
Job Responsibilities
- 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. No licenses needed.
- 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.
- If possible, insurance carrier background is a nice to have, not just TPA experience.
- Being familiar with presenting case analysis at Claim reviews, is a plus.
- Excellent written and verbal communication skills.
- Customer service orientation; strong analytical and negotiation skills.
- 5 years' Claims Adjuster - Workers Compensation experience handling California Claims.
Job Summary
Contractor
$77k-97k (estimate)
06/24/2024
07/20/2024
sunrisesystems.com
PEMBROKE, MA
50 - 100
Private
HENRY C APPLETON
$5M - $10M
Related Companies
The job skills required for Claims Adjuster include Customer Service, Communicates Effectively, Verbal Communication, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Adjuster. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Adjuster. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Adjuster positions, which can be used as a reference in future career path planning. As a Claims Adjuster, it can be promoted into senior positions as a Claims Adjuster III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Adjuster. You can explore the career advancement for a Claims Adjuster below and select your interested title to get hiring information.
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