Workers Compensation Claims Adjuster

Welcome to the State of California's Workers Compensation Claims Adjuster position! We are seeking a highly skilled and motivated individual to join our team and assist in the management of workers compensation claims for state employees. As a Claims Adjuster, you will play a critical role in ensuring that injured workers receive the necessary medical treatment and compensation in a timely and fair manner. This is a challenging and rewarding opportunity to make a positive impact on the lives of California's public servants. If you have a strong background in workers compensation and possess excellent communication and problem-solving skills, we encourage you to apply. Join us in supporting our state employees and keeping California's workforce safe and protected.

1. Evaluate workers compensation claims to determine eligibility and coverage under state regulations.
2. Conduct thorough investigations to gather all necessary information and evidence related to the claim.
3. Communicate with injured workers, healthcare providers, and other parties involved to gather information and provide updates on the status of the claim.
4. Analyze medical records and reports to determine the extent of injuries and necessary treatment.
5. Review and interpret state laws and regulations pertaining to workers compensation to ensure compliance.
6. Make accurate determinations of benefits and compensability for each claim.
7. Negotiate settlements and resolve disputes between parties involved in the claim.
8. Maintain accurate and detailed records of all claim activities and decisions.
9. Provide excellent customer service to injured workers and their families by addressing concerns and answering questions in a timely and professional manner.
10. Collaborate with other team members and departments to ensure efficient and effective claims management.
11. Keep up-to-date with changes in state laws and regulations related to workers compensation.
12. Identify and implement strategies to improve the claims process and customer satisfaction.
13. Attend meetings and training sessions to enhance knowledge and skills related to workers compensation.
14. Adhere to ethical standards and maintain confidentiality of sensitive information.
15. Handle high-volume of claims and meet deadlines while maintaining a high level of accuracy and attention to detail.

According to JobzMall, the average salary range for a Workers Compensation Claims Adjuster in Sacramento, CA, USA is between $56,000 and $78,000 per year. However, the exact salary may vary depending on factors such as the specific company, experience level, and additional skills and certifications.

California, a western U.S. state, stretches from the Mexican border along the Pacific for nearly 900 miles. Its terrain includes cliff-lined beaches, redwood forest, the Sierra Nevada Mountains, Central Valley farmland and the Mojave Desert. The city of Los Angeles is the seat of the Hollywood entertainment industry. Hilly San Francisco is known for the Golden Gate Bridge, Alcatraz Island and cable cars.