[Remote] Medical Only - Claims Adjuster, Workers Compensation (California) Job at micro1, United States

SUlQd0swRm1KQWFpaVhRSjRIZUtuKzJNYUE9PQ==
  • micro1
  • United States

Job Description

[Remote] Medical Only - Claims Adjuster, Workers Compensation (California)
Required Skills
Job Description

Job Title: [Remote] Medical Only - Claims Adjuster, Workers Compensation (California)

Job Type: Full-time

Location: Remote (Open to candidates in the USA)

Job Summary

Join our team as a Medical Only - Claims Adjuster specializing in California Workers Compensation. You will play a pivotal role in managing medical-only and lien claims remotely, ensuring compliance with state regulations, and delivering an outstanding customer experience. This is a fantastic opportunity to make a meaningful impact using your strong communication skills and workers compensation expertise.

Key Responsibilities

  • Manage and adjudicate California workers compensation medical-only and lien claims from initial report to closure.
  • Maintain timely, accurate, and thorough claim file documentation in compliance with regulatory and internal guidelines.
  • Communicate proactively with claimants, medical providers, legal representatives, and employers to ensure positive outcomes and customer satisfaction.
  • Identify, investigate, and resolve claim-related issues, prioritizing cost containment and best-in-class service delivery.
  • Review and approve medical bills, monitor treatment plans, and evaluate liens, ensuring appropriate payments.
  • Stay current on California workers compensation law and regulatory changes to ensure proper claims handling.
  • Collaborate with internal team members and stakeholders to promote continuous improvement and knowledge sharing.

Required Skills and Qualifications

  • 2+ years of experience handling California workers compensation medical-only or lien claims.
  • Strong written and verbal communication skills, with a commitment to professional and empathetic interactions.
  • In-depth knowledge of California workers compensation laws, regulations, and best practices.
  • Proficiency with claims management systems and digital documentation tools.
  • Excellent organizational skills with the ability to manage competing priorities in a remote environment.
  • Demonstrated problem-solving abilities and attention to detail.
  • Proactive, self-motivated, and comfortable working independently as part of a remote team.

Preferred Qualifications

  • California Self-Insurance Administrator certification.
  • Experience managing claims involving complex medical treatments or high-volume caseloads.
  • Bilingual in English and Spanish.

We are committed to fostering a supportive, remote work environment where your expertise and dedication to quality service will be valued and recognized. If you are passionate about delivering excellent outcomes for injured workers and their employers, we invite you to consider joining our team.

#J-18808-Ljbffr

Job Tags

Full time, Remote work,

Similar Jobs

Berkshire Hathaway Homestate Companies

Senior Claims Adjuster - Workers Compensation Job at Berkshire Hathaway Homestate Companies

 ...Join to apply for the Senior Claims Adjuster - Workers Compensation role at Berkshire Hathaway Homestate Companies - Workers Compensation...  ...s degree from four-year College or university preferred. EXPERIENCE: Minimum of eight years of indemnity adjusting experience... 

Catholic Health Initiatives

Interventional & Invasive Cardiologist Job at Catholic Health Initiatives

 ...Job Summary and Responsibilities Join the Leading Cardiology Practice in East Texas! Interventional Cardiologist Opportunity - The Heart Institute of East Texas Lufkin, Texas Are you a highly skilled and motivated Interventional Cardiologist seeking an exceptional... 

County of Sonoma, CA

Auditor-Appraiser I Job at County of Sonoma, CA

 ...estate?Would you like to serve your community and grow your career with the County of Sonoma?If so, apply today to become an Auditor-Appraiser I!Starting salary up to $48.48/hour ($101,183/year) and a competitive total compensation package!*As an Auditor-Appraiser I in... 

Community Choice Financial Family of Brands

Assistant Store Manager Job at Community Choice Financial Family of Brands

 ...Job Description Your Opportunity: Assistant Store Manager Titlemax Warner Robins, GA As an Assistant Store Manager (ASM), youll support our customers through real financial needs while gaining hands-on experience running a store. Youll develop your... 

Robert Half

Mobile App Developer Job at Robert Half

Description Minimum of three (3) years of detail oriented experience in mobile app development.Demonstrated success in delivering cross-platform mobile applications for both iOS and Android.Technical SkillsProficiency in one or more cross-platform frameworks: Flutter...