Claims Examiner responsible for analyzing and adjudicating workers' compensation claims. Ensures timely resolution and adherence to industry best practices for diverse clients.
Responsibilities
To analyze workers' compensation claims on behalf of our valued clients to determine benefits due.
Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiating settlement of claims within designated authority.
Communicating claim activity and processing with the claimant and the client.
Requirements
5 years of claims management experience or equivalent combination of education and experience required.
High School Diploma or GED required.
Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
California workers' compensation claim handling experience required | SIP Preferred
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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