Temporary Workers' Compensation Claims Adjuster III

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

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Intercare Holdings Insurance Services

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201 - 500 employees

Insurance • Risk Management

Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.

📋 Description

• Reports directly to the unit Claims Supervisor • Provide technical backup in the absence of the Claims Supervisor • Manage an assigned inventory of claim files that may include complex cases • Conduct a three-point contact on all new losses within 24 hours of receipt • Document relevant facts surrounding incidents and treatment status • Assure claims have an up-to-date plan of action • Partner with the medical case manager for early return to work potential • Initiate referrals for suspected fraud cases • Pursue subrogation from culpable third parties • Review and approve vocational rehabilitation plans • Monitor and adjust monetary case reserves when warranted • Exhibit a professional image and respond to inquiries within specified timeframes

🎯 Requirements

• Bachelor's degree (B. A.) from four-year college or university • At least seven years related experience and/or training • Equivalent combination of education and experience • Requires a high degree of claims handling expertise • Minimum of at least five years experience managing indemnity cases • Complex or high potential subrogation, rehabilitation, medical management, and/or legal issues • Possess an SIP certificate

🏖️ Benefits

• Comprehensive medical, dental, and vision benefits • Company contributions to HSA and FSA plans • Employer paid life and disability insurance • 401(k) with company match • Paid time off (PTO) and company paid holidays • Learning and development opportunities that support real career advancement • Employee assistance resources and a supportive culture that values balance and wellbeing