Top 15 Adjuster Jobs in Salinas, Ca

Workers' Compensation Claims Examiner
Pacific Claims Management —California
- Up to $100,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10h
Workers' Compensation Lien Resolution Paralegal (Defense)
Russell Legal Group —California
- $75,000 - $100,000 a year
- Full-time
- Hybrid work
- Employment & labor law
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
1d
Commercial Auto, General Liability Claims (40406)
IOS Staffing Services —United States
- $85,000 - $95,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
7d
Commercial Trucking Adjuster
TheBest Claims Solutions —United States
- $80,000 - $90,000 a year
- Remote
- Mid-level
- 3 years
- Bachelor's degree
14d

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Auto Damage Adjuster (Field)
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Property Adjuster II
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Valid driver's license and good driving record required. Conducts investigations, interviews, and inspects damage, driving to site of damage within assigned…
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Workers' Compensation Claims Examiner

Pacific Claims Management
California

Quick Apply

Job Details

Full-time
Up to $100,000 a year
10 hours ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Professional development assistance
Life insurance

Qualifications

Medicare
Writing skills
Analysis skills
Organizational skills
Relationship management
Medical management

Full Job Description

Pacific Claims Management is a client focused, third party administrator of workers’ compensation claims. Our unique approach centers on the welfare of our client and is achieved by our drive to provide our staff with the right tools and opportunities for success. We are seeking an experienced workers' compensation claims examiner to join our team.

Pacific Claims Management offers its adjusters a generous benefit package that includes non-standard perks that we would love to speak with you about!

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Manages workers’ compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains professional client relationships.

QUALIFICATIONS

Education & Licensing

CALIFORNIA SELF-INSURED ADMINISTRATOR'S CERTIFICATE

Skills & Knowledge

Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed service expectations

Remote available for qualified candidates.

Hybrid remote available for qualified candidates.

Job Type: Full-time

Pay: Up to $100,000.00 per year

Benefits:

401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Professional development assistance
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

adjuster jobs in salinas, ca

Workers' Compensation Claims Examiner

Workers' Compensation Lien Resolution Paralegal (Defense)

Commercial Auto, General Liability Claims (40406)

Commercial Trucking Adjuster

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