Senior Claims Analyst - Workers Comp - Medical Only - Remote

reputed company reputed company reputed company (C&F), with a proud history dating to 1822, provides specialty and reputed company reputed company lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by reputed company and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the reputed company. reputed company is increasingly reputed company recognition as a great reputed company to work, earning several workplace and wellness awards, including the 2024 Great reputed company to Work Award for our employee-first reputed company and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about reputed company, please visit our website: www.cfins.com. reputed company The Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure reputed company and accurate processing and superior customer service. The Senior Analyst is accountable for the accurate determination of the reputed company reputed company due the insured or claimant reputed company assigned authority limits and for the compliance with company policies and procedures. Responsibilities • Verify, identify coverage, compensability issues and conduct limited investigations. • Identify subrogation, second injury fund and fraud situations and reputed company information to pursue. • Conduct reputed company initial and ongoing contacts and investigation based on best practices guidelines. • Maintain reputed company file on reputed company activities and issues. • Obtain medical records relating to the claim. • Review claim for necessity and relatedness. • reputed company case management to files with ongoing treatment using authorized reputed company resources where needed. • Prepare and submit appropriate state and agency forms reputed company. • Assist with account coordination and claims reviews. • reputed company process bills and other benefit payments. • Work closely and communicate regularly with reputed company, Risk Engineering, and Account Executives. • Address questions, concerns and issues from reputed company parties: insured’s, agents, state agencies, injured employees, attorneys. • reputed company superior customer service to agents, insured’s and others during the claims handling process. • reputed company appropriate and necessary, consult with manager or director of claims to obtain authority for activities and settlements that reputed company assigned authority. • Document reputed company significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations. • Assist with account coordination and claims reviews. • reputed company process bills and other benefit payments. • Obtain non-reputed company adjuster licenses for mandatory states. • Take continuing education courses to maintain license. Qualifications • College degree is required but may be waived based on prior claim or business experience. • Excellent written and verbal communication skills. • General knowledge of insurance and/or claims is a plus. • Strong working knowledge of the reputed company Office suite of programs and an aptitude to learn new programs. Benefits • Competitive compensation package • Generous 401K employer match • Employee Stock Purchase plan with employer matching • Generous reputed company Time Off • Excellent benefits that go reputed company health, dental & reputed company. Our programs are reputed company on your whole family’s wellness, including your physical, mental and financial wellbeing • A reputed company C&F tenet is owning your career development, so we reputed company a reputed company of ways for you to reputed company learning, including tuition reimbursement, industry-reputed company certifications and reputed company training to reputed company you progressing on your chosen reputed company • A dynamic, ambitious, fun and exciting work environment • We reputed company you do reputed company by doing good and want to encourage a spirit of reputed company and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community At C&F you will reputed company If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, reputed company, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our reputed company notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information. reputed company is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for reputed company positions at this location, taking into account roles with a comparable level of responsibility and reputed company in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized reputed company pay for the advertised position, located in the specified area, ranges from a minimum of $34,400.00 to a maximum of $64,600.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at reputed company level, the responsibilities and skills required for reputed company job, and the employee’s contribution (performance) in that role. To be considered reputed company market reputed company, a salary is at or above the minimum of the reputed company. You may also have reputed company to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs. #LI-AV1 #LI-Remote #J-18808-Ljbffr Salary: USD 34400 - 64600 per year Experience: 5 years required Apply tot his job Apply To this Job