What are the responsibilities and job description for the Senior Workers' Compensation Claims Adjuster position at Southern California Edison (SCE)?
Join the Clean Energy Revolution
Become a Senior Workers' Compensation Claims Adjuster at Southern California Edison (SCE) and build a better tomorrow. At Southern California Edison, advocating for our injured employees is at the heart of what we do in our Workers' Compensation department. As a self-insured and self-administered employer, we focus on helping our employees recover from workplace injuries so they can return to work safely and enjoy their lives outside of work. If you are passionate about providing exceptional support and advocacy for injured workers, we invite you to join our team and contribute to a culture of care and recovery.
As a Senior Workers' Compensation Claims Adjuster, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?
Responsibilities
- Manages a complex workers' compensation claim caseload. May handle catastrophic claims as assigned
- May conduct initial / formal investigations with organizational unit management, medical providers, injured workers, and witnesses on complex claims to determine liability. Provides advice on workersu2019 compensation matters to injured employee, work locations, safety and directs initial medical treatment
- Administers benefits, contains medical cost, ensuring injured employees have immediate access to quality care while coordinating utilization review to ensure medical treatment is appropriate while moving cases to conclusion
- Identifies reports, and pursues fraud and 3rd party and excess insurance recoveries
- Provides complex litigation management and directs outside counsel and / or represents SCE at WCAB proceedings
- Evaluates claims for resolution and negotiates settlements with injured employees or their representatives within the settlement authority. Settlements may include Structured Settlements and MSAs
- Evaluates the Company liability and establishes reserves based on the ultimate probable cost of the claim and in accordance with the state of California Self Insurance Plans regulations. Reserve estimates require quarterly certification for Sarbanes Oxley compliance
- A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.
Minimum Qualifications
Preferred Qualifications
Additional Information
About Southern California Edison
The people at SCE don't just keep the lights on. Our mission is so much bigger. We're fueling the kind of innovation that's changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you'll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.
At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.
We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.
