Workers Compensation Claims Examiner

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

📋 Description

• Evaluate and manage workers' compensation claims by implementing action plans to ensure timely and appropriate resolutions.

• Conduct investigations and collect information to assess claim exposure.

• Negotiate settlements for claims within the assigned authority.

• Maintain clear communication regarding claim activities and processing with both claimants and clients.

• Submit claims to the excess carrier as required.

• Respond professionally and swiftly to requests for guidance.

• Adjudicate intricate workers' compensation claims on behalf of clients.

• Provide customer-oriented solutions to clients across various industries.

⛳️ Requirements

• Minimum of 4 years of claims management experience or a comparable combination of education and experience is required.

• High School Diploma or GED is mandatory.

• Knowledge of California workers' compensation jurisdiction is essential.

• SIP certification is required or must be acquired within one year of employment.

• A Bachelor's degree from an accredited institution is preferred.

• Professional certification relevant to the line of business is preferred.

• Strong ability to analyze and process workers' compensation claims.

• Proficient negotiation skills for settling claims within designated authority.

• Exceptional judgment, troubleshooting, problem-solving, analysis, and discretion.

• Capability to manage work-related stress and multiple priorities concurrently.

• Ability to meet established deadlines.

• Proficient keyboarding skills.

• Adequate hearing, vision, and communication abilities.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and advancement.

• Immediate access to medical, dental, and vision benefits.

• 401(k) plan available from day one.

• 401(k) matching contributions.

• Paid time off (PTO).

• Disability insurance coverage.

• Life insurance options.

• Employee assistance program.

• Flexible spending or health savings accounts.

• Additional voluntary benefits.

• Options for remote work and autonomy.