What are the responsibilities and job description for the Workers' Compensation Claims Rep - CA position at The Jonus Group?
Job Description
Workers' Compensation Claims Representative - California
Job Summary
Seeking a highly skilled and experienced Workers' Compensation Claims Representative to join a team. This is a fully remote position, allowing you to work from anywhere within the continental United States. The ideal candidate will have a strong background in handling workers' compensation claims, and possess the necessary certifications and qualifications to excel in this role.
Compensation Package
As a Workers' Compensation Claims Representative, your primary responsibilities will include:
To be considered for this role, candidates must meet the following qualifications:
Workers' Compensation Claims Representative - California
Job Summary
Seeking a highly skilled and experienced Workers' Compensation Claims Representative to join a team. This is a fully remote position, allowing you to work from anywhere within the continental United States. The ideal candidate will have a strong background in handling workers' compensation claims, and possess the necessary certifications and qualifications to excel in this role.
Compensation Package
- Salary Range: $85,000 - $105,000 per year (based on qualifications and experience)
- Competitive benefits package, including:
- Comprehensive healthcare coverage
- Generous vacation and sick leave
- 401(k) with company match
- Tuition reimbursement after six months of employment
- Service recognition after five years of employment
- Closed on major holidays
- Subsidized parking for in-office positions (if applicable)
As a Workers' Compensation Claims Representative, your primary responsibilities will include:
- Determining compensability and/or coverage issues for lost time workers' compensation claims.
- Managing a caseload of lost time claims across multiple jurisdictions.
- Negotiating and directing settlements under management's review.
- Gathering medical and factual evidence to assess compensability.
- Directing external investigations and managing litigation files within assigned authority.
- Maintaining regular communication with claimants, attorneys, investigators, rehabilitation personnel, insureds, account liaisons, and medical providers.
To be considered for this role, candidates must meet the following qualifications:
- A minimum of 3 years of experience handling workers' compensation claims, including lost time or litigated claims.
- Jurisdictional experience in California is required.
- SIP (Self-Insurance Plans) certification is mandatory.
- A Bachelor's degree is required.
- Familiarity with medical terminology.
- Strong organizational, problem-solving, negotiation, and conflict resolution skills.
- Excellent verbal and written communication skills.
- Carrier experience is preferred but not required.
Salary : $85,000 - $105,000