Job Description

Job Description

Position Overview

Our client a well-established Third-Party Administrator (TPA) is seeking an experienced Bilingual California Workers Compensation Claims Adjuster to manage a full caseload of California workers compensation claims. This role is fully remote and ideal for a seasoned professional who can independently handle complex claims while delivering high-quality service to clients and injured workers.

Compensation Package

• $80000 - $115000/year (based on experience)
• 100% remote work environment
• Comprehensive benefits package
• Supportive and collaborative team culture
• Long-term stability with a reputable TPA

Qualifications

• 2 years of experience handling California Workers Compensation claims
• Must be proficient in speaking writing and reading Spanish
• Strong knowledge of California workers compensation laws and regulations
• Ability to independently manage complex and litigated claims
• Excellent written and verbal communication skills
• Strong organizational and time management abilities
• Proficiency with claims management systems and standard claims technology

Key Responsibilities

• Manage a full caseload of California workers compensation claims from inception through closure
• Investigate claims determine compensability and establish appropriate reserves
• Handle complex and litigated claims in compliance with California workers compensation laws and regulations
• Coordinate with injured workers employers attorneys medical providers and other stakeholders
• Prepare and maintain accurate claim documentation and reports
• Ensure timely and compliant claims handling including benefit administration and settlement negotiations
• Provide excellent customer service while maintaining productivity and quality standards

Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.

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