Job Abstract

Compensation: $50/hr

Long Term Contract to Hire (Potential to Convert after 6-8 months)

Training-During training candidate should be in office hours for two weeks.

Start Date: 4/15

Schedule: Hybrid 3/2-in office Tuesday, Thursday, and Friday

Job hours: M-F 8:30am-5:00pm PT

About Avenica:

Avenica is a career-launching platform that uses data science, behavioral psychology, and performance coaching to unleash human potential and launch careers. By getting to know candidates beyond a resume and uncovering individual potential, we propel careers across the U.S. At Avenica, we put candidates first by advocating for them through the application and interview process. Learn more about Avenica and how we can support your job search at www.avenica.com.

Avenica is currently evaluating talent for a Claims Adjuster. The primary duty of a Claims Adjuster is to investigate, analyze, and determine the extent to which an insurance company is liable and to determine how much compensation is needed/required.

Job Responsibilities of the Claims Adjuster:

• Analyze first reports of injury to determine nature of injury and what benefits are owed based on the statute.
• Promptly contact insureds, injured workers, and medical providers.
• Maintain contact with insured, injured workers or their representative, and providers for the duration of their claim and promptly update all parties as their claim develops.
• Promptly and properly develop the file to provide accurate and timely investigation and loss analysis.
• Strict adherence to jurisdiction rules regarding form notices to injured worker, insured and state court.
• Timely and appropriately calculated benefits paid in accordance with jurisdiction.
• Maintain an active diary; monitor diary to achieve timely development of file and timely disposition of the claim.
• Recognize and pursue recovery where possible; adhere to all statutory regulations and unfair claim practices act.
• Effectively communicate with all internal and external customers

Skills of the Claims Adjuster:

• Knowledge of insurance contracts, investigative techniques, legal requirements, and regulations.
• Ability to work with a wide spectrum of people.
• Develop and maintain strong business relationships with internal and external customers.
• Ability to calculate statutory benefits owed and understand formulaic math
• Ability to work within tight deadlines.
• Strong organizational skills to respond to inquiries from a variety of sources.
• Excellent written and verbal communication skills.
• Customer service orientation; strong analytical and negotiation skills.

Education/Experience of the Claims Adjuster:

• At least 3 years handling CA workers’ compensation claims
• HS Diploma required

Our Process:

Upon completing the application, you will be prompted to complete our HAALO assessment. HAALO is simply a way for us to understand your preferences, behaviors, and work styles. The assessment is the final step in our application process.

Avenica is committed to providing equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Must be legally authorized to work for any employer in the US; Avenica is unable to provide sponsorship at this time.

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