Workers' Compensation Claims Rep - CA
About The Position
Workers' Compensation Claims Representative - California Job Summary Seeking a highly skilled and experienced Workers' Compensation Claims Representative to join a team. This is a fully remote position, allowing you to work from anywhere within the continental United States. The ideal candidate will have a strong background in handling workers' compensation claims, and possess the necessary certifications and qualifications to excel in this role. Compensation Package Salary Range: $85,000 - $105,000 per year (based on qualifications and experience) Competitive benefits package, including: Comprehensive healthcare coverage Generous vacation and sick leave 401(k) with company match Tuition reimbursement after six months of employment Service recognition after five years of employment Closed on major holidays Subsidized parking for in-office positions (if applicable)
Requirements
- A minimum of 3 years of experience handling workers' compensation claims, including lost time or litigated claims.
- Jurisdictional experience in California is required.
- SIP (Self-Insurance Plans) certification is mandatory.
- A Bachelor's degree is required.
- Familiarity with medical terminology.
- Strong organizational, problem-solving, negotiation, and conflict resolution skills.
- Excellent verbal and written communication skills.
Nice To Haves
- Carrier experience is preferred but not required.
Responsibilities
- Determining compensability and/or coverage issues for lost time workers' compensation claims.
- Managing a caseload of lost time claims across multiple jurisdictions.
- Negotiating and directing settlements under management's review.
- Gathering medical and factual evidence to assess compensability.
- Directing external investigations and managing litigation files within assigned authority.
- Maintaining regular communication with claimants, attorneys, investigators, rehabilitation personnel, insureds, account liaisons, and medical providers.
Benefits
- Comprehensive healthcare coverage
- Generous vacation and sick leave
- 401(k) with company match
- Tuition reimbursement after six months of employment
- Service recognition after five years of employment
- Closed on major holidays
- Subsidized parking for in-office positions (if applicable)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
