Workers’ Compensation Claims Adjuster
Insurance Placement Solutions (IPS) has immediate openings for Workers’ Compensation Claims Adjusters with our client in the Greater Sacramento, California area. These are temporary opportunities expected to last at least 90 days, with the potential for extension based on business needs. In this role, you’ll manage a caseload of complex indemnity workers’ compensation claims, handling files from inception through resolution while ensuring compliance with California statutes and client guidelines. Workers’ Compensation Claims Adjuster Responsibilities
- Manage a caseload of indemnity workers’ compensation claims, including complex and litigated files
- Conduct three-point contact within 24 hours of claim assignment (claimant, employer, and treating physician)
- Investigate claims to determine compensability, exposure, and benefit eligibility
- Develop and maintain action plans to drive claims toward timely resolution
- Coordinate with medical case managers to support return-to-work strategies
- Handle subrogation efforts, including identifying recovery opportunities and pursuing contributions
- Refer suspected fraud cases to SIU as appropriate
- Manage litigation, including directing defense counsel and overseeing legal strategy
- Establish, monitor, and adjust reserves in accordance with authority guidelines
- Review medical treatment and billing for appropriateness
- Maintain accurate and thorough claim documentation in compliance with California regulations
- Provide timely communication and exceptional service to claimants, clients, and stakeholders
Qualifications
- Minimum 5 years of experience managing indemnity workers’ compensation claims
- Experience handling complex claims involving subrogation, litigation, rehabilitation, and medical management
- Strong knowledge of California workers’ compensation statutes and Labor Code
- Excellent analytical, organizational, and communication skills
- Ability to manage a high-volume caseload and meet deadlines in a fast-paced environment
Certification
- SIP Certification is required
Education
- Bachelor’s degree preferred or equivalent combination of education and experience
Work Arrangement
- Remote with the requirement to be within an hour of the Greater Sacramento, CA area.
- Temporary assignment (minimum 90 days, with possible extension)
About Insurance Placement Solutions Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. Our clients rely on us to quickly fill temporary, temp-to-hire, and direct hire roles while maintaining operational continuity. We provide job seekers access to exclusive opportunities with top insurance organizations that are often not advertised publicly. Job Type: Full-time Pay: $43.00 - $46.00 per hour Experience:
- Workers Compensation lost time claims handling: 3 years (Required)
License/Certification:
- SIP Certification (Required)
Location:
- Sacramento, CA (Preferred)
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