Early Career - Workers Compensation Claims Specialist

Crawford & Company; Brea (CA); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is looking for ambitious candidates to join their Early Career Training Program in California Workers' Compensation Claims. This role offers a unique opportunity to gain valuable insights and skills in a dynamic field. As a claims administrator, you'll handle non-complex claims, investigate coverage, and ensure timely resolution of cases. With excellent employee benefits and a generous referral bonus program, this is a fantastic chance to kickstart your career in a supportive environment. If you're ready to seize this opportunity and shape your future, we encourage you to apply!

Benefits

Great Bonus Opportunity

Excellent Employee Benefits

Multiple Employee Discounts

Generous Employee Referral Bonus Program

Qualifications

• Strong communication and analytical skills are essential for this role.
• Ability to handle claims processing and ensure compliance with policies.

Responsibilities

• Administer and resolve non-complex short-term claims of low monetary amounts.
• Investigate claims, verify policy coverage, and maintain communication with team managers.

Skills

Claims Processing

Investigation Skills

Communication Skills

Analytical Skills

Education

Bachelor's Degree

Job description

Join our Early Career Training Program

Take the first step toward a rewarding career in California Workers' Compensation Claims! Gain valuable insights and skills in a dynamic field. We're seeking ambitious candidates ready to seize this opportunity and shape their future!

• Candidates should be within or near the Brea office. Preference for candidates from Los Angeles, San Bernardino, or Riverside County.
• Great Bonus Opportunity!
• Excellent Crawford Employee Benefits!
• Multiple Employee Discounts!
• Generous Employee Referral Bonus Program!

Job Responsibilities

Administers and resolves non-complex short-term claims of low monetary amounts, including medical-only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority.

• Handle claims processing for simple cases, ensuring compliance with policies and procedures.
• Investigate claims to confirm coverage and determine liability, working closely with claimants, witnesses, medical professionals, and other relevant parties.
• Verify policy coverage, notify insured of issues, and establish reserve requirements, adjusting reserves as needed.
• Identify wage loss expenses and exposures on medical claims.
• Review medical reports and interact with claimants to understand injury and medical conditions.
• Approve medical bill payments up to $2,500 for lost time disability claims within authority.
• Evaluate claims for potential fraud, loss control, and recovery opportunities.
• Maintain communication with team managers, provide updates, and complete all required documentation.