What are the responsibilities and job description for the Claims Adjuster - WC position at Adecco US, Inc.?
Customer Workers' Compensation Claims Adjuster
Adecco is recruiting for a Workers' Compensation Claims Adjuster to join a remote team. This position is a potential Temp-to-Perm opportunity and requires a minimum of 3 years of experience in workers' compensation claims handling across multiple states.
As a Claims Adjuster , you will be responsible for analyzing mid- and higher-level workers' compensation claims to determine benefits due, ensuring claims are adjudicated within company standards, and identifying subrogation of claims while negotiating settlements.
What’s in this for you?
Remote
Pay rate : $45 per hour.
Work hours : 8 : 00 AM to 4 : 30 PM.
Professional environment with a professional dress code.
Opportunity to learn, grow, and advance in the workers' compensation field.
Qualifications :
Experience : At least 3 years of workers' compensation claims handling experience in multiple SE states.
Must have workers' compensation experience—no other lines of business will be considered.
Education : Bachelor’s degree from an accredited college or university preferred.
Working knowledge of regulations, offsets, deductions, disability duration, and medical management practices, as well as Social Security and Medicare application procedures.
Strong organizational skills and excellent negotiation skills.
Ability to work in a team environment and meet or exceed service expectations.
Responsibilities :
Manage workers' compensation claims to determine compensability and benefits due on long-term indemnity claims.
Monitor reserve accuracy and file necessary documentation with the state agency.
Develop and manage claims' action plans to ensure resolution, coordinate return-to-work efforts, and approve claim payments.
Approve and process assigned claims, determining benefits due and managing action plans per claim or client contract.
Negotiate settlements and manage subrogation of claims.
Communicate claim actions with claimants and clients, ensuring professional relationships.
Ensure claim files are properly documented and claims coding is correct.
May process complex lifetime medical or defined period medical claims, including state and physician filings and decisions on treatments recommended by utilization review.
Additional Information :
Assignment Type : Temp.
Order Type : Manager Review / Interview (Offer Extended after interview).
Security clearance : A background credit check will be required.
Work environment : This is a remote position.
If you meet the qualifications and are ready to contribute to a leading claims team, apply now for the Workers' Compensation Claims Adjuster position!
Pay Details : $45.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer / Veterans / Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Salary : $45
