Job Description
Our client, a leading Third-Party Administrator, is seeking to add a Remote Senior Workers Compensation Claims Examiner. This role will consist of handling mid to complex Workers Compensation Lost Time claims from inception to close. Qualified candidates must be well-versed in California Workers’ Compensation Law and have the ability to work remotely!
- Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager.
- Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes.
- Communicate with medical providers to develop and authorize appropriate treatment plans.
- Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan.
- Negotiate settlements with injured workers and attorneys.
Requirements:
- 5+ years of Workers Compensation Lost Time claims handling experience
- Must be well-versed in CA Workers’ Compensation Law
- Must have their SIP.
- Must have experience handling litigated files.
- Excellent Customer Service and Organizational skills.
- High School Diploma; Bachelor's Degree preferred but not required.
Salary/Benefits:
- $85,000 - $95,000 +/year (based on experience)
- Flex schedule and ability to work remotely
- Competitive Medical, Dental, Vision and Life plans
- Employer matching 401(k) plan
- Generous PTO plan
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