Workers Compensation Claim Adjuster - Trainee

Job Description

Job Description We are looking for a Workers Compensation Claim Adjuster - Trainee to join a team in Los Angeles, California. This Long-term Contract position is ideal for someone who enjoys customer interaction, investigative work, and managing time-sensitive claim activity in a structured office setting. The individual in this role will support workers compensation claim handling from intake through ongoing coordination, while working closely with injured workers, insured parties, medical providers, and internal business partners.

Responsibilities:
• Conduct fact-finding reviews on new workers compensation claims to assess coverage, clarify loss details, and support compensability decisions.
• Confirm the accuracy and completeness of claim intake information, then update files to ensure records remain organized and current.
• Communicate with insureds, claimants, and other stakeholders to address questions, explain next steps, and provide attentive service throughout the claim process.
• Prepare and issue required jurisdictional notices, arrange benefit-related activities, and maintain documentation needed for claim administration.
• Coordinate medical appointments and gather treatment updates from providers to support timely handling of active files.
• Evaluate medical documentation and related claim materials to help determine claim validity and appropriate benefit consideration.
• Partner with investigative resources when red flags arise and assist with escalated claim review as needed.
• Work with legal representatives and internal partners to support case strategy, resolution planning, and ongoing file progress.
• Assist the broader claims team with administrative tasks such as filing, tracking deadlines, and completing assigned support activities.• Bachelor’s degree required.
• Previous exposure to workers compensation claims is preferred.
• Demonstrated ability to deliver responsive, service-focused support to customers and business partners.
• Strong analytical thinking and organizational skills, with the ability to manage multiple tasks accurately.
• Comfortable using computers and navigating digital systems in a fast-paced office environment.
• Typing proficiency in the 45–60 words-per-minute range.
• Effective written and verbal communication skills, along with the ability to collaborate in a team setting.
• Adaptable, dependable, and capable of exercising sound judgment in day-to-day work situations.