Hybrid Workers Compensation, Claims Examiner

Posted 3 weeks ago

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About the role

  • 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.

Job title

Workers Compensation, Claims Examiner

Job type

Experience level

Mid levelSenior

Salary

$80,000 - $98,000 per year

Degree requirement

High School Diploma

Location requirements

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