Workers Compensation Claims Examiner

Adecco is currently assisting a local client in their search to fill a Worker’s Compensation Claims Examiner role in San Diego, CA! Apply now if you meet the qualifications listed below.

Responsibilities, Qualifications, & Details:
We have an immediate need for a Workers Compensation Claims Examiner located in San Diego, CA. This candidate will be responsible for the prompt and efficient examination, investigation and settlement or declination of California State and Federal insurance claims through effective research, negotiation and interaction with insured’s and claimants, ensuring that company resources are utilized in a cost-effective manner in the process.

Job Duties:

Thoroughly investigating workers’ compensation claims by contacting injured workers, medical providers, and employer representatives determining if claims are valid under applicable workers’ comp statutes
Communicate with medical providers to develop and authorize appropriate treatment plans
Review and analyze medical bills to confirm charges and treatment are workers’ comp injury-related and in accordance with the treatment plan
Ensure payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
Answer questions regarding the status of pending claims from claimants, policyholders and medical providers
Consult with attorneys regarding litigation management, settlement strategy and claim resolution

Must Have:

Bachelor's degree preferred
5-7 years of experience as a Workers Comp adjuster
MS Office experience (Work, Excel, Outlook)
Effective negotiation skills
Strong verbal and written communication skills
Ability to prioritize work load to meet deadlines
Ability to manage multiple tasks in a fast-paced environment

Pay Rate: $41.00hr - $43.00hr DOE

How to Apply: Click on “Apply with Adecco” to be considered for this position or any other opportunities with Adecco.

IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “Apply with Adecco” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities, available at Adecco go to

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k), Insurance Benefit Plans

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_022862_408407