Claims Examiner – Workers Compensation (Hourly)

Job Title: Claims Examiner – Workers Compensation
Work Arrangement: Remote in California
Contract Duration: 3 Months with the possibility for extension 
Pay Rate: $43-45 per hour 

PRIMARY PURPOSE: To analyze complex or technically difficult workers’ compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• 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. 

• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Education & Licensing
Bachelor’s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience
Five (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.

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