InterMed Cost Containment Services · 16 hours ago
Workers Compensation Claims Adjuster I
Rocklin, CA
Full-time
Onsite
Entry Level
$24/hr - $34/hr
1+ years expInterMed Cost Containment Services is seeking a Workers Compensation Claims Adjuster I. The role involves analyzing insurance claims to determine the extent of the insurance carrier's liability and settling claims with claimants while performing various essential duties.
PaymentsHealthcareProfessional ServicesBillingMedical
Responsibilities
Three-point contact, initial investigation, initial benefit determination
Ability to identify and address questionable (AOE/COE) claims
Establish and monitor reserves at periodic intervals
Prepare claims status report to carriers at 90-day intervals
Ability to manage and direct medical care, including strategies to maintain medical control and objection when appropriate
Identify and rate permanent disability
Vocational Rehabilitation file management
Negotiate and finalize claim settlements as well as lien settlements
Identify and manage subrogation issues on workers’ compensation claims
Work independently and in a fast paced environment
Qualification
Required
At least 1-3 years experience as a Workers' Compensation Claims Assistant, or up to one year Trainee or Future Med Adjuster experience; or Bachelor's degree (B.A.) and six months experience
Company
InterMed Cost Containment Services
InterMed Cost Containment Services offers network management, utilization review, and medical bill review for workers' compensation.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase