Workers Compensation Claims Adjuster, III

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $95k - $100k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Intercare Holdings Insurance Services

WebsiteLinkedInAll Job Openings

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 • Perform a three-point contact on all new losses • Document ongoing case facts and information for compensability • Ensure up to date plan of action for indemnity claims • Partner with medical case manager for early return to work • Refer cases with suspected fraud to SIU • Pursue subrogation from culpable third parties • Review and approve all vocational rehabilitation plans • Monitor and adjust monetary case reserves • Review medical bills for appropriateness prior to payment referral • Maintain a courteous and helpful attitude and project a professional image

🎯 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 • Minimum of at least five years experience managing indemnity cases • High degree of claims handling expertise • 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