CA Indemnity Examiner

The Jonus Group; Bakersfield (CA); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Job summary

The Jonus Group in California is seeking an experienced Indemnity Claims Examiner - Workers' Compensation to manage a busy caseload and ensure compliance with state regulations.

You will investigate claims, coordinate with medical providers and attorneys, monitor reserves, and handle litigated files. The role requires strong communication and analytical skills and a dedicated service mindset.

Qualifications

• Minimum of 3 years of experience in California workers' compensation claims handling.
• SIP certification is a significant advantage but not required; must obtain within 6 months of employment.
• Experience with public entities or school districts is highly desirable.
• Strong knowledge of California workers' compensation regulations and claims practices.

Responsibilities

• Manage a caseload of workers' compensation indemnity claims from initial reporting through closure.
• Investigate claims and gather necessary documentation to determine compensability.
• Coordinate with medical providers, legal counsel, employers, and injured workers throughout the claims process.
• Monitor claim reserves, payments, and ongoing claim activity to ensure accuracy and compliance.
• Handle litigated files and collaborate with defense counsel as needed.
• Ensure adherence to California workers' compensation laws, regulations, and reporting requirements.
• Provide claim status updates and recommendations to internal stakeholders.

Skills

Communication skills

Organizational skills

Analytical skills

Job description

Job Description

Indemnity Claims Examiner - Workers' Compensation

Seeking a dedicated and experienced Indemnity Claims Examiner - Workers' Compensation to join a growing team. The successful candidate will manage a caseload of workers' compensation indemnity claims, ensuring compliance with California regulations while providing exceptional service to all stakeholders. If you have a strong background in claims handling and a passion for delivering results, we encourage you to apply.

Job Summary

Seeking a dedicated and experienced

Compensation Package

• Base Salary: $85,000 - $105,000 per year
• Health Coverage: Company-paid Health, Dental, and Vision insurance

Responsibilities

• Manage a caseload of workers' compensation indemnity claims from initial reporting through closure.
• Investigate claims and gather necessary documentation to determine compensability.
• Coordinate with medical providers, legal counsel, employers, and injured workers throughout the claims process.
• Monitor claim reserves, payments, and ongoing claim activity to ensure accuracy and compliance.
• Handle litigated files and collaborate with defense counsel as needed.
• Ensure adherence to California workers' compensation laws, regulations, and reporting requirements.
• Provide claim status updates and recommendations to internal stakeholders.

Qualifications/Requirements

• Minimum of 3 years of experience in California workers' compensation claims handling.
• Self-Insurance Plans (SIP) certification is a significant advantage but not required; must obtain within 6 months of employment if not already certified.
• Experience working with public entities or school districts is highly desirable.
• Proven ability to manage claims through litigation and closure.
• Strong knowledge of California workers' compensation regulations and claims practices.
• Experience with self-insured or third-party administrator (TPA) environments is a plus.
• Excellent communication, organizational, and analytical skills.
• Ability to effectively manage a diverse caseload and prioritize competing deadlines.