Hybrid/Remote Workers' Comp Claims Examiner

Ultimate Staffing; San Diego (CA); Híbrido; USD 52 000 - 62 000; Tempo parcial

Resumo da oferta

Ultimate Staffing is seeking an experienced Workers' Compensation Claims Examiner in San Diego, CA. The role is hybrid with remote Mondays and Fridays and in-office Tue–Thu, with the possibility to convert or extend the temporary assignment. Pay is $38-$45/hr DOE, 37.5 hours per week.

The examiner will manage claims through the full lifecycle, investigate compensability, establish reserves, and coordinate with workers, employers, attorneys, and medical providers to achieve favorable resolutions.

Qualificações

• 5+ years of workers' compensation claims handling experience.
• Strong understanding of workers' compensation laws, regulations, and claims management practices.
• Experience managing indemnity claims preferred.
• Excellent communication, organizational, and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office applications.

Responsabilidades

• Manage a caseload of workers' compensation claims through the full claim lifecycle.
• Investigate claims and determine compensability.
• Establish and manage claim reserves.
• Coordinate with injured workers, employers, attorneys, medical providers, and other stakeholders.
• Develop action plans and strategies to move claims toward resolution.
• Facilitate return-to-work and modified duty programs.
• Review and authorize claim payments within authority limits.
• Maintain timely and accurate claim documentation while ensuring regulatory compliance.

Conhecimentos

Claims handling

Regulations knowledge

Indemnity claims

Communication

Multitasking

MS Office

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Ultimate Staffing is seeking an experienced Workers' Compensation Claims Examiner in San Diego, CA. The role is hybrid with remote Mondays and Fridays and in-office Tue–Thu, with the possibility to convert or extend the temporary assignment. Pay is $38-$45/hr DOE, 37.5 hours per week.

The examiner will manage claims through the full lifecycle, investigate compensability, establish reserves, and coordinate with workers, employers, attorneys, and medical providers to achieve favorable resolutions.