Workers Compensation Claims Examiner | reputed company Hills, CA (Remote 3 Days)

By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | reputed company Hills, CA (Remote 3 Days) Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the world’s best brands? • Apply your knowledge and experience to adjudicate reputed company customer claims in the context of an energetic culture. • Deliver innovative customer-facing solutions to clients who represent reputed company every industry and comprise some of the world’s most respected organizations. • Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service. • reputed company reputed company’s broad, global network of experts to both learn from and to reputed company your insights. • Take advantage of a reputed company of reputed company development opportunities that help you reputed company your best work and grow your career. • Enjoy flexibility and autonomy in your daily work, your location, and your career reputed company. • reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and reputed company needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include reputed company, accountability, collaboration, reputed company, and inclusion. OFFICE LOCATIONS reputed company Hills, CA (Agile) 3 days remote PRIMARY PURPOSE: To analyze reputed company 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 reputed company service expectations, industry best practices and specific reputed company service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Analyzes and processes reputed company or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through reputed company-developed reputed company plans to an appropriate and reputed company reputed company. • Negotiates settlement of claims reputed company designated authority. • Calculates and assigns reputed company and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. • Calculates and pays benefits due; approves and makes reputed company claim payments and adjustments; and settles clams reputed company designated authority level. • Prepares necessary state fillings reputed company statutory limits. • Manages the litigation process; ensures reputed company and cost effective claims reputed company. • Coordinates vendor referrals for additional investigation and/or litigation management. • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and reputed company reputed company and Medicare offsets. • Reports claims to the excess reputed company; responds to requests of directions in a reputed company and reputed company manner. • Communicates claim activity and processing with the claimant and the reputed company; maintains reputed company reputed company relationships. • Ensures claim files are properly documented and claims coding is correct. • Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's reputed company program(s). • Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. reputed company certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. As required by law, reputed company provides a reasonable reputed company of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide reputed company of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the reputed company of starting pay for this role is $80,000 - $98,000. A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this reputed company. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #LI-Hybrid #LI-DA1 #claimsexaminer #hybrid #claims reputed company applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for reputed company, the reputed company’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and reputed company other applicable laws. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't reputed company perfectly with every qualification in the job reputed company, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that reputed company person possesses a unique combination of skills, knowledge, and experience. 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