Claims Examiner (Project Hire)

The Walt Disney Company • Anaheim, CA

6d • Onsite

About The Position

The Claims Examiner is an early-career professional who supports Disney’s Corporate Risk Management organization by administering workers’ compensation claims in a way that protects the brand while enabling world-class storytelling and guest experiences. In this role, you will independently manage a portfolio of occupational injury and illness claims, applying sound judgment and problem-solving skills to deliver fair, timely, and compliant outcomes for Cast Members and the company. This position is a temporary Project Hire assignment expected to last approximately six (6) months. Employment is intended to support a specific business need for a limited duration and there is no guarantee of extension, conversion, or placement into a regular full-time position at the conclusion of the assignment.

Requirements

• 2+ years administering occupational or workers’ compensation claims in California.
• Designation as a Workers’ Compensation Claims Examiner in the State of California, per California Department of Insurance guidelines.
• California Self-Insurance Plans Administrator Certification.
• Proficient understanding of key elements of the California Labor Code related to workers’ compensation benefits and claim administration.
• Strong analytical skills in evaluating liability, setting appropriate reserves, and developing action plans for claim resolution.
• Ability to perform detailed evaluation of claims and permanent disability ratings.
• Proficient use of automated claims management systems, paperless document management systems, and multiple web access portals.
• Excellent time management skills with the ability to prioritize multiple issues and meet department expectations and objectives.
• Effective listening, verbal, and written communication skills, including the ability to deliver concise and informative summaries.
• Demonstrated ability to work collaboratively within multifaceted teams and build strong relationships with stakeholders.
• Ability to handle confidential information with discretion and professionalism.
• Early-career, independent worker with strong problem-solving skills and the ability to analyze a range of issues and recommend solutions with moderate guidance.

Nice To Haves

• Preferred certifications such as IEA, WCCP, or CPDM.
• Bilingual – English/Spanish.
• Bachelor's Degree in Business, Risk Management, or a related field.

Responsibilities

• Handle workers’ compensation claims from initial investigation through resolution, ensuring benefits are administered in accordance with California Labor Code and internal guidelines while supporting Disney’s commitment to a safe, innovative, and collaborative workplace.
• Analyze information, recommend solutions with moderate guidance, and work independently while partnering across teams—helping safeguard the company’s interests and supporting injured Cast Members in their recovery.
• Administer workers’ compensation benefits for injured Cast Members, including investigation, review and analysis of medical reports, arranging medical examinations, and rating permanent disability.
• Communicate effectively with Cast Members, physicians, attorneys, and other providers to gather information, explain claim decisions, and facilitate appropriate care and benefits.
• Establish and maintain case reserves in accordance with California Self-Insurance Plans and department guidelines, using strong analytical skills to evaluate liability and exposure.
• Oversee vocational rehabilitation benefits with a focus on returning Cast Members to gainful employment whenever possible.
• Utilize automated claims management systems, paperless document management tools, and web-based portals to document, track, and manage claims in a timely and accurate manner.
• Maintain frequent contact with multiple stakeholders, including injured Cast Members, area and department management, medical providers, and other professionals, while demonstrating a professional, courteous, and positive demeanor.
• Work within established levels of authority, seeking supervision as needed or required by internal procedures and guidelines, and provide informal guidance to new team members on claims processes.

Benefits

• A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level