Workers' Compensation Claims Adjustor

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Responsible for the management of workers' compensation claims for assigned self-insured affiliates. Manages claims from time reported until resolution. Works in a team environment with technical specialists, supervisor, claim manager and affiliate representatives. Partners with medical providers, and risk management professionals to ensure integration of claim issues.

Job Description:

Candidate must come on site as needed and live in the Northern California Sutter Health footprint.

EDUCATION:

• [Equivalent experience will be accepted in lieu of the required degree or diploma]
• Bachelor's

CERTIFICATION & LICENSURE:

• SIP Certificate exam within 36 months of hire
• Successful completion of an IEA Certificate within 18 months of hire

TYPICAL EXPERIENCE:

• 5 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Demonstrates thorough knowledge of California Workers’ Compensation law.
• Must have on the job and classroom training, experience and knowledge surrounding California’s Labor Code, estimating workers’ compensation costs, permanent disability rating and medical terminology.
• Proven oral and written communication skills. Communications must reflect knowledge of grammar in English composition and acceptable business letter format, as well as, industry jargon.
• Ability to ensure compliance with Standard Work and Claims Management Standards.
• Demonstrated ability to handle confidential information.
• Ability to work independently, maintain a balance of work priorities and complete assignments within established timeframes.
• Analytical skills, the ability to draw valid conclusions, and formulate sound recommendations.
• Organizational and planning skills, and the ability to manage and coordinate the activities related to an assigned caseload and the payment of workers’ compensation claims.
• Ability to work with diverse health and administrative professionals at all organizational levels.
• Computer literate and have a working knowledge of Microsoft Office.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $94,848.00 to $142,272.00 / annual salary

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.