Claims Examiner - Workers Compensation (REMOTE -California Exp Required)
About the position
Responsibilities
• Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
• Manages claims through well-developed action plans to an appropriate and timely resolution.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.
Requirements
• Bachelor's degree from an accredited college or university preferred.
• Five (5) years of Workers Compensation claims management experience or equivalent combination of education and experience required.
• California Claims handling experience required.
Benefits
• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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