Advanced Workers' Comp Claims Specialist

AF Group; Los Angeles (CA); Teletrabalho; USD 57 000 - 95 000; Tempo integral

Resumo da oferta

AF Group is seeking a Claim Representative II to handle intermediate-level workers' compensation claims in a fast-paced office setting in Los Angeles, CA. You will assess compensability, investigate causal relationships, establish reserves, and negotiate settlements within your authority.

You will work with managers on complex files, coordinate with medical providers, and ensure timely closure of claims while adhering to state laws and internal performance standards.

Qualificações

• Bachelor's degree in a related field.
• Continuous learning per company philosophy; certification encouraged.
• Proactive in professional development and staying current with laws.

Responsabilidades

• Verify workers' compensation coverage.
• Determine compensability after investigation.
• Establish reserves within authority and manage financial exposure.
• Negotiate settlements with parties and attorneys.
• Coordinate with medical providers and return-to-work efforts.
• Maintain relationships with internal and external customers.

Conhecimentos

Negotiation

Communication

Analytical thinking

Multi-tasking

Independent work

Formação académica

Bachelor's degree in a related field

Certification or progress toward certification

Descrição da oferta de emprego

AF Group is seeking a Claim Representative II to handle intermediate-level workers' compensation claims in a fast-paced office setting in Los Angeles, CA. You will assess compensability, investigate causal relationships, establish reserves, and negotiate settlements within your authority.

You will work with managers on complex files, coordinate with medical providers, and ensure timely closure of claims while adhering to state laws and internal performance standards.