Senior Claims Adjuster - Workers Compensation at PMA Companies

Roseville, California, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Sep, 26

Salary

101000.0

Posted On

29 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers Compensation, Claims Investigation, Coverage Determination, Subrogation Recovery, Claims Negotiation, Medical Management, Disability Management, Litigation Management, Customer Service, Communication Skills, Organizational Skills, Critical Thinking, Computer Literacy, MS Office, Attention to Detail

Industry

Insurance

Description

Job Description: As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: * Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature * Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) * Alert Supervisor and Special Investigations Unit to potentially suspect claims * Ensure timely denial or payment of benefits in accordance with jurisdictional requirements * Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure * Negotiate claims settlements with client approval * Establish and implement appropriate action plans for case resolution including medical and disability management, litigation management, negotiation and disposition * Work collaboratively with Lodestar nurse professionals to develop and execute return to work strategies * Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome * Maintain a working knowledge of jurisdictional requirements and applicable case law for each state serviced * Demonstrate technical proficiency through timely, consistent execution of best claim practices * Communicate effectively, verbally and in writing with internal and external parties on a wide variety of claims and account issues * Provide a high degree of customer service to clients, including face to face interactions during claims reviews, stewardship meetings and similar account-specific sessions * Authorize treatment based on the practiced protocols established by statute or the Lodestar Managed Care department * Assist Lodestar clients by suggesting panel provider information in accordance with applicable state statutes. * Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. #LI - Remote Qualifications Requirements: * CA License and SIP designation required * Bachelor's degree, or four or more years of equivalent work experience required in an insurance related industry required * At least 3-5 years' experience handling lost time workers compensation claims required; past experience with CA jurisdiction is required * Associate in Claims (AIC) Designation or similar professional designation desired. * Active license required or ability to obtain license within 90 days of employment in mandated states. * Familiarity with medical terminology and/or Workers' Compensation * Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously * Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to details * Strong verbal, written communication skills and customer service skills * Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint. * Ability to travel for business purposes, approximately less than 10%. Lodestar is providing applicants with the anticipated wage range for this position in compliance with state regulations. The wage range for this role is $75,000 to $101,000. Wage ranges are based on national market data and may cover a wide range of geographies. Applicants may be paid above, within or below this range based on a variety of factors.

Responsibilities

Independently investigate, evaluate, and resolve complex workers compensation claims. Ensure timely denial or payment of benefits and establish appropriate reserves.