Claims Assistant

  • Location
    San Diego, California
  • Category
    Claims / Adjuster
  • Job reference:
  • Job type

We're searching for a full-time Workers Compensation Claims Assistant in San Diego, CA (Gaslamp Quarter/Procopio Tower) to work for a Fortune 500 insurance company.  In this role, you will work with Claims Professional to determine and administer Workers' Compensation benefits to injured workers.


  • Interact with Claims Professional and/or Supervisor to report or resolve any discrepancies or obtain proper approval prior to completion.
  • Determine benefit eligibility in compliance with State regulatory guidelines.
  • Send payments and benefit notices timely, including amended notices; issue compensability notices adhering to State regulatory guidelines and company policies.
  • Create new claim set-up notifications and correspondence for incoming claims or for
    claims identified for transfer from the Medical Claims Specialist Unit to an
    Indemnity Unit.
  • Coordinate medical evaluations as needed and obtain updates on disability status post appointment.
  • Prepare required documentation for appropriate parties on litigated
    claims, such as creating index of documentation and cover letter, redacting certain information, and verifying service completion.
  • Submit internal service requests with required documentation to
    appropriate department for handling.
  • Note updates upon completion of tasks in Claims Tracking System.
  • Required Qualifications:

  • H.S. Diploma or equivalent (e.g., GED or HiSET)
  • Experienced reading and interpreting medical reports, legal documents, settlement documents, Workers Compensation state regulatory guidelines.
  • Proficiency with MS Excel, databases, systems, and vendor software.
  • Good math skills.
  • Compensations: 

  • $20.00 per hour (max)
  • Accounting Principals/Ajilon (a brand under The Adecco Group, NA) offers one of the most comprehensive benefits package in the industry to contract workers
  • Apply now or send your resume to for immediate consideration!

    Equal Opportunity Employer/Veterans/Disabled

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    The Company will consider qualified applicants with arrest and conviction records

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