California Workers Compensation Claims Examiner | Remote

King's Insurance Staffing; California (MO); Remote; USD 85,000 - 105,000; Full time

Job summary

An established industry player is looking for a Remote Senior California Workers' Compensation Claims Examiner. This pivotal role involves managing moderate to complex claims, ensuring compliance, and providing excellent service to clients. The ideal candidate will have extensive experience in California Workers' Compensation, especially in handling litigated files. This opportunity offers a competitive salary, the flexibility to work from home, and a comprehensive benefits package, including medical, dental, and 401(k) matching. If you're ready to make a significant impact in a growing organization, this role is perfect for you.

Benefits

Competitive Medical, Dental, Vision, and Life plans

Employer matching 401(k) plan

Ability to work from home

Paid maternity leave

Paid paternity leave

Tuition assistance

Disability insurance

Student loan assistance

Qualifications

• 3-6+ years of experience in handling California Workers Compensation Lost Time claims.
• Experience with litigated files is a must.

Responsibilities

• Handle mid to complex California Workers Compensation Lost Time claims.
• Investigate claims to determine validity and extent of liability.
• Ensure compliance with legal and regulatory standards.

Skills

California Workers Compensation Claims Handling

Customer Service

Organizational Skills

Education

Bachelor's Degree

Job description

King's Insurance Staffing provided pay range

This range is provided by King's Insurance Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$85,000.00/yr - $105,000.00/yr

Additional compensation types

Annual Bonus

Job Overview

Our client, an A Rated Insurance Carrier, is seeking to add a Remote - Senior California Workers' Compensation Claims Examiner to their organization. This is a newly created position due to their continued growth. The successful candidate will be responsible for handling moderate to complex California Workers' Compensation claims from inception to close. Qualified candidates must possess their California Experienced Adjuster designation and be fully set up to work remotely.

Responsibilities

• Handle mid to complex California Workers Compensation Lost Time claims.
• Manage a pending ranging between 70 – 90 files.
• Investigate claims to determine validity and extent of liability.
• Properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others.
• Coordinate medical treatment for injured workers.
• Review and evaluate documentation, including applications, reports, and statements.
• Ensure legal, regulatory, and fair claims handling compliance.
• Identify claims with subrogation potential and pursue reimbursement.
• Set or recommend reserves based on results of claim investigation.

Requirements

• 3 - 6+ years of California Workers Compensation Lost Time claims handling experience.
• Experience working for an Insurance Carrier or TPA is strongly desired.
• Must have experience handling litigated files.
• Excellent Customer Service and Organizational skills.
• Bachelor's Degree preferred but not required.

Salary and Benefits

• $85,000 to $105,000 annual base salary plus bonus.
• Ability to work from home.
• Competitive Medical, Dental, Vision, and Life plans.
• Employer matching 401(k) plan.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Other
• Industries: Insurance Carriers, Insurance, Claims Adjusting, Actuarial Services

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Inferred Benefits

401(k), Vision insurance, Medical insurance, Paid maternity leave, Tuition assistance, Paid paternity leave, Disability insurance, Student loan assistance.

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