Pie Insurance

CA - Claims Adjuster, Workers Compensation

United States

Sponsorship not specified$80k-$100kDetected 62 days ago

Customer SupportCommunicationCollaborationProblem Solving

About the role

We leverage technology to transform how small businesses buy and experience commercial insurance.
All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process.
By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.

Advocate to ensure that Pie has a leading claims customer experience.
Work to continuously improve our claims operations and look at opportunities and gaps in claim service, handling SOPs, protocols and processes.
High School Diploma or equivalent is required.
Bachelor's Degree or equivalent experience with some college coursework is preferred.
Minimum of 2-years workers' compensation claims experience is required.
Claims experience working in CA is required.
Experience using G-Suite Tools, and collaboration tools like Slack is preferred.
Knowledge of jurisdictional regulatory and statutory requirements and CMS/MSA requirements.

Competitive cash compensation
When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.

Independently handle all aspects of the workers' compensation claims from set-up to closure.
Conduct timely 3-point contact investigation, with focus on continued investigation as facts of the case change.
Mitigate claim exposure while achieving the best outcome.
Determine timely and accurate compensability decisions within statutory requirements.
Set and adjust timely/accurate reserves within authority limits to ensure reserving activities are consistent with the case facts and company best practices.
Timely administration of statutory medical and indemnity benefits throughout the life of the claim.
Comply with all applicable statutory guidelines, rules, and regulations.
Control legal activity with defense counsel through the litigation process while managing legal fees and costs.
Prioritize early resolution opportunities, evaluate claim exposure and negotiate settlement.
Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie.
Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make.
This role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers.

xual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic

This listing is sourced directly from Pie Insurance's careers page and normalized into a canonical job model.