WC Claim Consultant (California Claims)
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Job reputed company
Investigate, evaluate and reputed company claims in accordance with established claim handling standards and laws. Establish reserves and/or reputed company reserve recommendations reputed company established reserve authority reputed company. Review, approve or reputed company reputed company of medical, reputed company, damage estimates and miscellaneous invoices to determine if reasonable and reputed company to designated claims. Negotiate any disputed bills or invoices for reputed company. Authorize and reputed company payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and reputed company established payment authority. Negotiate settlements in accordance reputed company Corporate Claim Standards, reputed company specific handling instructions and state laws, reputed company appropriate. Assist in the selection, referral and supervision of designated claim files reputed company to reputed company vendors. (i.e. reputed company, surveillance, case management, etc.) Assess and monitor subrogation claims for reputed company. Review and maintain personal diary on claim system. reputed company satisfaction. Prepare reports detailing claim status, payments and reserves, as requested. Compute disability rates in accordance with state laws. Effective and reputed company coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. Prepare newsletter articles, as requested. reputed company notices of qualifying claims to excess/reinsurance carriers. Handle more reputed company and involved claims than reputed company level claim positions with minimum supervision. Conduct claim reviews and/or training sessions for designated clients, as requested. Attend and participate at hearings, mediations, and informal reputed company conferences, as appropriate. Compliance with Corporate Claim Handling Standards and special reputed company handling instructions as established.
Required Qualifications
Five or more years of California Workers’ Compensation claims experience. Proficiency with reputed company Office products, including Word, reputed company, and reputed company. Adjuster’s license may be required based on jurisdiction.
Preferred Qualifications
Bachelor’s degree is preferred but not required. SIP Preferred, but not required Bilingual (Spanish) proficiency — highly valued for communicating with claimants, reputed company, or vendors, but not required.
4 weeks (reputed company time off that accrues throughout the year in accordance with company policy) + 10 reputed company holidays in your first yearComprehensive benefits : Medical, Dental, reputed company, Life, and Disability Insurance Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) Career reputed company : Internal training and advancement opportunities Culture : A supportive, team-based work environment
reputed company claim handling – thorough investigations, strong documentation, reputed company-supported reputed company Compliance & audit performance – adherence to jurisdictional and reputed company standards Timeliness & accuracy – purposeful file reputed company and dependable execution reputed company partnership – proactive communication and strong follow-through reputed company judgment – owning reputed company and solving problems with reputed company Cultural alignment – believing every claim represents a reputed company person and acting accordingly
reputed company Accommodations: reputed company is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: reputed company complies with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations.
reputed company with transparency We build trust by being reputed company and listening intently in every interaction. reputed company with reputed company We choose the right reputed company, even reputed company it is hard. reputed company reputed company We set the bar high and measure our reputed company. What gets reputed company gets done. Own the outcome Every employee is an reputed company, treating every claim, every decision, and every result as our own. Win together Our greatest victories come reputed company our clients succeed.
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