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The Jonus Group · 2 days ago

Workers Compensation Claims Adjuster II

Glendale, CA

Full-time

Onsite

Mid, Senior Level

$80K/yr - $98K/yr

3+ years exp

The Jonus Group is seeking an experienced and detail-oriented Workers’ Compensation Claims Adjuster to manage indemnity claims from initial report through resolution. This role requires a strong understanding of workers’ compensation laws and regulations, as well as the ability to evaluate complex claims and ensure customer-focused claim handling.

EmploymentInsuranceRecruiting

Responsibilities

Conduct three-point contact on all new losses within required timeframes, including outreach to the claimant, employer, and treating physician

Investigate claims thoroughly to establish compensability, disability status, and treatment plans

Maintain accurate and timely documentation of all claim activity, medical updates, and expense payments

Develop and maintain an up-to-date action plan for each assigned indemnity claim to drive timely resolution

Partner with medical case management to support early return-to-work initiatives and minimize extended disability exposure

Coordinate the use of vendors as needed to support claim investigation and resolution

Identify and refer suspected fraudulent claims to the appropriate special investigations unit

Ensure compliance with applicable workers’ compensation laws, regulations, and internal guidelines

Qualification

Workers' compensation experienceIndemnity claims managementWorkers' compensation regulations4850 claims handlingAnalytical skillsOrganizational skillsCommunication skills