Senior CA Workers' Comp Claim Specialist

AF Group; Atlanta (GA); Remote; USD 65,000 - 109,000; Full time

Job summary

AF Group in Atlanta seeks an advanced workers' compensation claim handler who investigates claims, exercises discretion in determining compensability, and handles large, high-touch cases with complex customers.

The role mentors others, negotiates settlements within authority, coordinates special projects, and ensures timely reserves and cost containment. The listing notes experience in handling California claims as a preference.

Qualifications

• Five years of experience in a workers' compensation claims environment.
• Experience handling complex claims and determining compensability.
• Bilingual skills preferred.

Responsibilities

• Verifies workers' compensation coverage of employers and injured employees.
• Determines compensability through thorough investigation of the claim.
• Establishes timely and appropriate reserves based on the profile of the claim within given authority.
• Negotiates settlements with attorneys or injured parties within given authority.
• Mentors team members and coordinates special projects.
• Manages outside vendors to ensure cost containment efforts.

Skills

Workers' compensation experience

Bilingual (preferred)

Education

Bachelor's degree in a related field

Job description

AF Group in Atlanta seeks an advanced workers' compensation claim handler who investigates claims, exercises discretion in determining compensability, and handles large, high-touch cases with complex customers.

The role mentors others, negotiates settlements within authority, coordinates special projects, and ensures timely reserves and cost containment. The listing notes experience in handling California claims as a preference.