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. Apply tot his job