Sr. Claims Adjuster, Workers'''' Compensation

CopperPoint Insurance Co
  • Westlake Village, CA
  • Remote
  • $95,000–$110,000 Per Year
12 days ago

Job Description

CopperPoint Insurance Company has an exciting opportunity for a full-time remote Sr. Claims Adjuster, Workers Compensation. The Sr. Claims Adjuster, Workers Compensation will investigate, manage, and resolve claims in a timely, unbiased, and informed manner in compliance with policies, state laws, and regulatory performance standards.

Job responsibilities:

  • Knowledge of policy documents for coverage verification.
  • Provide account servicing support on claim issues to policyholders including travel as required.
  • Investigate, determine compensability, and manage time loss claims consistent with jurisdictional requirements.
  • When necessary, attend In-Person meetings with injured workers, employers, and medical providers
  • When necessary, assign investigators, attorneys, medical consultants, and others to facilitate claim determinations and plans of action.
  • Follow up with injured workers, policyholders, and medical providers to monitor progress.
  • Consult with attorneys regarding litigation management, settlement strategy, and claim resolution.
  • Maintain electronic files necessary for documentation of the claim file including coding, contacts, financial data, and plan of action.
  • Review reserves for appropriateness and file timely reports on all serious loss claims as required by ANIC policy and regulatory standards.
  • Promote the team approach to case and account management.
  • Perform other duties as assigned.
  • Bilingual in Spanish preferred, pay differential available.

Qualifications/Competencies:

  • High school graduate, Bachelor's degree preferred
  • 5 years or greater of Workers' Compensation adjusting experience
  • In-depth knowledge of Workers' Compensation laws
  • Knowledge of medical and legal terminology and procedures
  • General computer skills
  • Excellent written and verbal communication skills
  • Strong interpersonal skills
  • Effective negotiation skills
  • Ability to prioritize workload to meet deadlines
  • Ability to work well in a team environment

Benefits:

  • Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan.
  • We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan).
  • Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year.

Salary Range:

  • $95,000.00 - $110,000.00 annually
  • Compensation may vary depending on skills, experience, education, and geographical location.
  • In addition to base salary, compensation may include an annual discretionary bonus.

Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers' compensation and commercial insurance solutions. With an expanded Line of insurance products and a growing ten-state footprint in the western United States, CopperPoint embodies stability for policyholders in Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington. CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, Alaska National Insurance Company, and other CopperPoint Insurance Entities.

CopperPoint's culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships, and in-kind contributions. We empower employees by providing 12 hours of paid volunteer time annually and matching their personal contributions to the charities of their choice up to $500 per year. In 2020, CopperPoint employees reported 3,500 volunteer hours.

CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, and vision and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement, and other education benefits and business casual dress. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status, or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace.

#LI-Remote

Numbers & Facts

LocationWestlake Village, CA (
Remote
)
Salary$95,000–$110,000 Per Year

Skills

  • Case Managementunmatched
  • Claims Managementunmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Compensation and Benefitsunmatched
  • Computer Skillsunmatched
  • Consultingunmatched
  • Customer Support/Serviceunmatched
  • Documentationunmatched
  • Establish Prioritiesunmatched
  • Federal Laws and Regulationsunmatched
  • File Maintenanceunmatched
  • Financial Planningunmatched
  • Geneticsunmatched
  • Healthcare Providersunmatched
  • High School Diplomaunmatched
  • Insuranceunmatched
  • Interpersonal Skillsunmatched
  • Legalunmatched
  • Litigation Settlementunmatched
  • Management Strategyunmatched
  • Medical Treatmentunmatched
  • Multilingualunmatched
  • Negotiation Skillsunmatched
  • Presentation/Verbal Skillsunmatched
  • Project Trackingunmatched
  • Regulationsunmatched
  • Sales Managementunmatched
  • Spanish Languageunmatched
  • State Laws and Regulationsunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Willing to Travelunmatched
  • Worker's Compensationunmatched
  • Writing Skillsunmatched

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