The Jonus Group
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)
Responsibilities
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.
Qualifications / Requirements
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.
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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)
Responsibilities
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.
Qualifications / Requirements
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.
#J-18808-Ljbffr