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Workers Compensation Claims Examiner

Job in San Diego, San Diego County, California, 92189, USA
Listing for: Alliant
Full Time position
Listed on 2025-12-28
Job specializations:
  • Insurance
    Risk Manager/Analyst, Insurance Claims, Insurance Analyst, Insurance Agent
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below

Alliant Insurance Services is one of the nation’s largest and fastest-growing insurance brokerage and consulting firms. We operate through a network of specialized national platforms and local offices to offer our clients a comprehensive portfolio of solutions built on innovative thinking and personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new opportunities to grow and protect their organizations.

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Reviews and evaluates workers’ compensation claims to determines compensability and benefits due on indemnity claims;
  • Sets and manages reserve accounts, ensures that accurate levels are maintained and that documentation is on file with state agency;
  • Develops and manages workers’ compensation claims action plans and manages to resolution;
  • Establishes and manages return-to-work plan;
    Identifies modified work opportunities to enable return to work;
  • Coordinates claim action and processing with claimant and client;
  • Approves claim payments, manages subrogation of claims and negotiates settlements;
  • Develops effective working relationships with outside vendors and ensures professional client relationships;
  • Communicates with injured workers, employers, doctors and attorneys;
  • Composes medical examination assignments, letters and legal orders;
  • Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims;
  • Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);
  • Other duties as assigned.
QUALIFICATIONS EDUCATION / EXPERIENCE
  • Bachelor's Degree in business or equivalent combination of education and experience
  • Three (3) or more years of experience in workers’ compensation field
  • Certificates and/or licenses as required by State regulation
SKILLS
  • Excellent verbal and written communication skills
  • Excellent presentation skills
  • Analytical skills with ability to interpret results
  • Strong organizational skills
  • Good interpersonal skills with ability to work in a team environment
  • Proficient in Microsoft Office Products

We are proud to provide comprehensive, high quality employee programs to meet employees’ needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.

Alliant Insurance Services, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, age, religion, gender, sexual orientation, gender identity, national origin, disability, protected veteran status or any other protected status.

If you are applying for a job and need a reasonable accommodation for any part of the employment process, please call our Career Center at and let us know the nature of your request and contact information.

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