Workers’ Claims Representative - Hybrid - Fresno, CA

Base Pay Range

$70,000.00/yr – $90,000.00/yr

Join a well-established insurance agency with a 30‑year legacy and a powerful commitment to ethical, honest insurance solutions. They are actively seeking an experienced Workers' Compensation Claims Representative! You will drive success by investigating and evaluating claims, expediting payments, and ensuring proper documentation. Grow your expertise with a team ready to invest in your long‑term professional development.

• Earn an annual salary of $70,000 – $90,000+, depending on your experience
• Comprehensive benefits package including Medical, Dental, and Vision insurance
• 401(k) plan
• Generous Paid Time Off (PTO) and paid company holidays

• 3-5+ years of experience in workers' compensation claims
• Certifications as a Workers Compensation Claims Administrative (WCCA) and Workers Compensation Claims Professional (WCCP) are preferred but not required
• Knowledge of Worker's Compensation guidelines, Medicare coding, and compliance obligations.
• Microsoft Office and other database management systems

• Assisting with new claims from opening until satisfactory completion, evidence, and fact-gathering surrounding claims
• Ensuring claims coding is true and accurate
• Claim files must be accurately recorded in the system
• Assuring all claims have a workable plan of action
• Reviewing billing summaries
• Identifying any signs of fraud and making proper referrals for further investigation
• Pursue subrogation when necessary and offer superior customer service to all parties involved

As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief™ works with brokers, carriers, and third‑party administrators to locate and place the best people for positions ranging from entry‑level to senior management. We invest the time to truly understand what you want to accomplish and then do our best to find meaningful opportunities.

Insurance Relief™ provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.

Seniority level: Associate

Employment type: Full‑time

Job function: Administrative and Management

Industries: Insurance and Insurance Agencies and Brokerages

Referrals increase your chances of interviewing at Insurance Relief by 2x

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