Senior Workers' Claims Examiner

Overview

Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their California operations. This role will consist of handling moderate to complex Workers’ Compensation Lost Time claims throughout the state of California from inception to close. Qualified candidates should possess their SIP.

• Handle a pending of 90 - 100 mid to complex Workers' Compensation Lost Time claims in California
• Investigate claims to determine validity and extent of liability.
• Properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others; coordinate medical treatment for injured workers.
• Review and evaluate documentation, including applications, reports, and statements.
• Ensure legal, regulatory, and fair claims handling compliance.
• Identify claims with subrogation potential and pursue reimbursement.
• Set or recommend reserves based on results of claim investigation.

• 7- 10+ years of Workers' Compensation Lost Time claims handling experience
• Must be well-versed in California Workers’ Compensation Law
• Must maintain SIP
• Excellent Customer Service and Organizational skills
• High School Diploma;
  Bachelor's Degree preferred but not required

• $100,000 - $115,000 annual base salary
• Ability to work from home
• Competitive Medical, Dental, Vision and Life plans