Senior Claims Representative, Workers' Compensation

This is a fully remote position, open to applicants in California.

📋 Description

• Plan, suggest, and implement investigations related to workers' compensation claims.

• Oversee workers' compensation claims that necessitate prompt investigations and financial precision.

• Ensure proper benefit management, appropriate file handling, and compliance with statutory regulations.

• Collaborate with medical professionals, legal experts, and regulators to support claimants' recovery.

• Build and sustain effective business relationships with clients.

• Collect and analyze data to guide claim determinations.

• Compute disability benefit rates and evaluate claim financial risks.

• Utilize modern technology to achieve precise and efficient claim resolutions.

• Exhibit professional diplomacy in all customer interactions.

• Enhance collaboration, operational effectiveness, and employee involvement.

• Commit to ongoing improvement initiatives.

⛳️ Requirements

• At least 2+ years of experience in handling workers' compensation claims is required.

• Certification examinations and adjusting licenses as mandated by state regulations.

• CA Self Insured License is highly preferred.

• Exceptional interpersonal abilities.

• Strong commitment to providing excellent customer service.

• Proven strong written and verbal communication skills.

• Consistently demonstrated high performance and achievements throughout career.

• Excellent time management capabilities with the ability to juggle competing priorities.

• High School Diploma is required.

• Bachelor's Degree is preferred.

• Candidates must be residents of the state of California.

• Availability during core business hours, Monday to Friday.

🏝️ Benefits

• 100% remote work opportunity.

• Eligibility for short-term or annual bonuses.

• Long-term incentive plans.

• Immediate recognition for outstanding performance.

• Five weeks of training provided.