Workers' Compensation Claims Adjustor

Sutter Health • Sacramento, CA

3d • Onsite

About The Position

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: 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. Job Description : Candidate must come on site as needed and live in the Northern California Sutter Health footprint.

Requirements

• Candidate must come on site as needed and live in the Northern California Sutter Health footprint.
• Bachelor's
• 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.
• SIP Certificate exam within 36 months of hire
• Successful completion of an IEA Certificate within 18 months of hire

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees