Workers' Compensation Claims Adjustor

Sutter Health • Sacramento, CA

6d • Onsite

About The Position

Responsible for the management of workers' compensation claims for assigned self-insured affiliates. Manages claims from time reported until resolution. Works in a team environment with technical specialists, supervisor, claim manager and affiliate representatives. Partners with medical providers, and risk management professionals to ensure integration of claim issues. Candidate must come on site as needed and live in the Northern California Sutter Health footprint.

Requirements

• Bachelor's
• SIP Certificate exam within 36 months of hire
• Successful completion of an IEA Certificate within 18 months of hire
• 5 years recent relevant experience
• Demonstrates thorough knowledge of California Workers’ Compensation law.
• Must have on the job and classroom training, experience and knowledge surrounding California’s Labor Code, estimating workers’ compensation costs, permanent disability rating and medical terminology.
• Proven oral and written communication skills.
• Communications must reflect knowledge of grammar in English composition and acceptable business letter format, as well as, industry jargon.
• Ability to ensure compliance with Standard Work and Claims Management Standards.
• Demonstrated ability to handle confidential information.
• Ability to work independently, maintain a balance of work priorities and complete assignments within established timeframes.
• Analytical skills, the ability to draw valid conclusions, and formulate sound recommendations.
• Organizational and planning skills, and the ability to manage and coordinate the activities related to an assigned caseload and the payment of workers’ compensation claims.
• Ability to work with diverse health and administrative professionals at all organizational levels.
• Computer literate and have a working knowledge of Microsoft Office.

Responsibilities

• Management of workers’ compensation claims
• Manages claims from time reported until resolution
• Works in a team environment
• Partners with medical providers, and risk management professionals to ensure integration of claim issues

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees