Workers' Compensation Claims Examiner - Fresno, CA

Insurance Relief•Fresno, CA
•$40 - $50•Onsite

About The Position

Join a reputable third-party administrator, a leader in claims management, as a Workers' Compensation Claims Examiner! This is an exciting opportunity to thrive in a collaborative environment and the chance to deliver superior client service. If you are a motivated professional seeking industry leadership and innovation, this is your next career step.

Requirements

  • Comprehensive understanding of the California Labor Code as it applies to workers' compensation claims
  • Microsoft Office and various claims database management systems

Nice To Haves

  • 3+ years of experience in Workers' Compensation claims
  • SIP certification
  • Experience with analyzing complex claims data, translating findings into strategic, actionable recommendations
  • Knowledge of Workers' Compensation guidelines, regulations, and compliance requirements

Responsibilities

  • Create presentations for training purposes on all updates on policies, workers' compensation laws, and procedures
  • Maintain a current and comprehensive action plan for all assigned indemnity claims
  • Ensure timely completion of all claim file activities
  • Oversee all internal and external audits
  • Reviewing billing summaries
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