The Mutual Group
201 - 500 employees
Founded 2024
💸 Finance
🤝 B2B
Finance • B2B
The Mutual Group is a strategic partner for independent mutual insurance carriers, providing permanent capital, shared operational infrastructure, purpose-built technology, and expert talent while preserving mutual independence. The organization helps mutuals scale, improve underwriting and risk management, and drive growth by combining aligned funding with operational capabilities and advisory support. Its services are aimed at enabling mutual insurers to remain independent and competitive in the modern insurance market.
Senior Workers' Compensation Adjuster
🔥 2 hours ago
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The Mutual Group
201 - 500 employees
Founded 2024
💸 Finance
🤝 B2B
Finance • B2B
The Mutual Group is a strategic partner for independent mutual insurance carriers, providing permanent capital, shared operational infrastructure, purpose-built technology, and expert talent while preserving mutual independence. The organization helps mutuals scale, improve underwriting and risk management, and drive growth by combining aligned funding with operational capabilities and advisory support. Its services are aimed at enabling mutual insurers to remain independent and competitive in the modern insurance market.
📋 Description
• Manage moderate to complex workers’ compensation claims from initial investigation through resolution • Conduct interviews with insured parties, claimants, witnesses, and other relevant individuals to assess claim eligibility • Obtain statements; analyze coverage; determine compensability and applicable benefits; set appropriate reserves • Negotiate settlements; and litigation management • Handle a broad range of claims with settlement authority up to $175,000 • Provide mentorship or support to junior team members in their claims handling • Maintain timely and accurate claim file documentation in accordance with company protocols • Coordinate medical management, including UR/IMR and return-to-work strategies • Participate in claim reviews and case discussions
🎯 Requirements
• 5+ years California workers’ compensation claims experience • Current Experienced Adjuster Designation • Bachelor’s degree preferred • Experience adjusting complex indemnity and litigated claims • Advanced knowledge of California workers’ compensation regulations and laws • Ability to work independently and efficiently in a remote environment • Excellent analytical and problem-solving abilities • Effective verbal and written communication skills • Ability to negotiate skillfully in challenging situations • Strong organizational and time management skills with ability to prioritize competing demands • Proficiency with Microsoft Word, Excel, and Outlook • Ability to perform advanced mathematical calculations
🏖️ Benefits
• Competitive base salary plus incentive plans for eligible team members • 401(K) retirement plan that includes a company match of up to 6% of your eligible salary • Free basic life and AD&D, long-term disability and short-term disability insurance • Medical, dental and vision plans to meet your unique healthcare needs • Wellness incentives • Generous time off program that includes personal, holiday and volunteer paid time off • Flexible work schedules and hybrid/remote options for eligible positions • Educational assistance
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