How do I qualify as an experienced claims adjuster or medical bill reviewer?
A person may be able to adjust workers’ compensation claims or review medical bills based on their experience. An Experienced Claims Adjuster must meet one of the following requirements: Have five (5) years in the last eight (8) years of on-the-job experience adjusting California workers’ compensation claims; or supervising claims adjusters handling workers’ compensation claims; or Successfully completing the Self-Insurance Exam written examination (specified by Title 8, Section 15452 of the California Code of Regulations) and have either (1) worked as a claims adjuster or supervisor of workers’ compensation claims continuously since passing the examination, or (2) passing the exam within the previous five years. An Experienced Medical-Only Claims Adjuster must meet the following requirements: Have at least 3 years in the past 5 years of on-the-job experience adjusting California workers’ compensation medical-only claims. An Experienced Medical Bill Reviewer must meet the following req
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