Claims Examiner - REMOTE

Jobgether

2d • Remote

About The Position

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Claims Examiner - REMOTE. In this role, you will play a vital part in adjudicating complex workers' compensation claims, ensuring timely and accurate resolutions. You will engage with a diverse array of clients across various industries, contributing to innovative solutions that address their unique challenges. This position allows for flexibility and autonomy in your work, enabling you to thrive within a supportive and empowering environment. Our partner company is dedicated to professional development and values your contributions to the team.

Requirements

• Bachelor's degree from an accredited college or university preferred.
• Five years of claims management experience or an equivalent combination of education and experience required.
• Knowledge of California jurisdiction is essential, along with appropriate licensing.
• Strong negotiation and analytical skills are a must for effective claims resolution.

Responsibilities

• Analyze and process complex workers' compensation claims to determine exposure and manage claims to resolution.
• Negotiate settlements within designated authority and ensure claims are well documented.
• Calculate and assign reserves throughout the claim lifecycle and manage timely benefit payments.
• Prepare necessary state filings within statutory limits and oversee litigation processes.
• Coordinate vendor referrals and utilize cost containment strategies to manage overall claim costs.

Benefits

• Flexible work schedule to support work-life balance.
• Referral incentive program for employee engagement.
• Opportunities for career development and promotional growth.
• Diverse benefits package including medical, dental, vision, and 401K from day one.

What This Job Offers

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