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Location

San Bernardino, CA | United States

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Job description

Tryfacta is seeking a Worker's Compensation Claims Adjuster for our client in San Bernardino , CA, 92415 . This is a temporary contract assignment. If you meet the qualifications listed below and are interested, please Apply Now!

Highlights:

Position Title: Worker's Compensation Claims Adjuster

Location: San Bernardino , CA, 92415

Work Schedule: Hybrid work schedule after two weeks in the office for acclamation (2 days a week in the office)

Responsibilities for this position include, but are not limited to:

• Receive and review Workers' Compensation claims and reports and determine if occupational illness or injury is compensable; authorize and compute payment utilizing California State Workers' Compensation Law; advise employees and dependents of entitlement to Workers' Compensation benefits under state law and County policy.
• Develop documentation for claim reports by requesting substantiating reports from physicians, supervisors, and witnesses; review injury reports for completeness and consistency; resolve discrepancies in data; advise departments regarding procedures and reporting deadlines involving work injuries.
• Explain to injured workers their benefits and legal rights under Workers' Compensation Laws.
• Prepare subrogation and litigation cases and correspond with doctors and attorneys on litigated cases; attend Workers' Compensation Appeal Board Hearings and authorize settlements under $50,000 as delegated by the Risk Manager; may serve as a witness at appeal hearings; arrange special investigations and medical examinations.
• Prepare briefs of Personnel and Health Department information to Workers' Compensation attorneys for submittal to the Workers' Compensation Appeals Board; secure documentary evidence of births, deaths, marriages, and divorces in fatality cases. Serve as custodian of records; produce records and attest to validity under the direction of the court by subpoena.
• Prepare and present informational seminars or in-service training to explain the County Workers' Compensation Program.

To be considered for this position, you should have:

• Three (3) years of experience, within the last five (5) years, adjusting workers' compensation claims, including one (1) year adjusting complex litigated claims, such as continuous trauma, AOE/COE, stress claims, and safety claims.

• Ability to review Workers' Compensation claims, and reports and determine if occupational illness or injury is compensable; authorize and compute benefit payment (Temporary Total Disability, Permanent Disability, Life Pension).

• Ability to review and document claim reports from physicians, ability to investigate claims from onset to resolution.

• Ability to explain to injured workers their benefits and legal rights under Workers' Compensation Laws.

• Ability to prepare subrogation and litigation cases and correspond with doctors and attorneys on litigated cases.

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About us:

Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private and public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems. Founded in March 1996, Tryfacta Inc. is one of the leading Staffing Services and IT Solutions Providers with a presence in all 50 States. Tryfacta is leveraging its strong industry domain knowledge to serve clients in many different industries. Tryfacta has Ranked number 2 as one of the fastest growing companies by Inc. Magazine (Inc. 5000) in the United States.

Tryfacta is an Equal Opportunity-Affirmative Action Employer. We do not discriminate on the basis of Minority / Female / Disability / Veteran / Gender Identity / Sexual Orientation / Age.

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Salary