California Claims Professional Adjuster - Remote jobs in United States
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K2 Insurance Services · 16 hours ago

California Claims Professional Adjuster - Remote

K2 Insurance Services is a national workers’ compensation program administrator seeking a full-time Claims Adjuster to join its claims processing team. The role involves investigating claims, determining their validity, managing payments, and preparing state filings within statutory limits.

Financial ServicesInsurance

Responsibilities

Thoroughly investigating worker’s compensation claims by contacting injured workers, medical providers, and employer representatives
Determining if claims are valid under applicable worker’s comp statutes
Communicating with medical providers to develop and authorize appropriate treatment plans
Reviewing and analyzing medical bills to confirm charges and treatment are worker’s comp injury-related and in accordance with the treatment plan
Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes
Calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim
Managing claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
Preparing required state filings within statutory limits
Providing information as needed for litigation or settlement negotiations

Qualification

California WC claims experienceAB1262 designationWCCAWCCP certificationMS Word proficiencyMS Excel proficiencyMS Outlook proficiencyMultitaskCommunication skillsOrganizational skillsWork independently

Required

At least 2 years' WC claims adjusting experience that includes experience with California WC claims
AB1262 California Experienced Examiner designation or currently meet the requirements for designation under AB1262
Strong verbal and written communication skills
Strong organizational skills with attention to details
Ability to work with little supervision
Ability to manage multiple tasks in a fast-paced environment
Proficiency in MS Word, Excel, and Outlook

Preferred

Bachelor's degree preferred, but not required
WCCA or WCCP preferred

Benefits

Medical
Dental
Vision
Disability
Life insurance
401(k) with employer match

Company

K2 Insurance Services

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K2 Insurance Services is a specialty insurance services platform providing underwriting and distribution to P&C carriers.

Funding

Current Stage
Late Stage
Total Funding
unknown
2022-12-01Acquired

Leadership Team

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Chris W.
Chief Growth Officer
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Scott Roe
Chief Marketing Officer
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Company data provided by crunchbase