Senior CA Workers' Comp Claims Examiner

King's Insurance Staffing; Fresno (CA); On-site; USD 90,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Employer-sponsored retirement benefits

Paid vacation, sick leave, and olidays

Job summary

King's Insurance Staffing has a client in Fresno, CA seeking an experienced Workers' Compensation Claims Examiner to manage California claims from assignment to resolution.

The ideal candidate will have 3+ years of CA workers' compensation claims experience, strong knowledge of CA regulations, and the ability to communicate with injured employees, providers, and attorneys. This on-site role offers a $90,000-$110,000 salary plus comprehensive benefits.

Qualifications

• Minimum of 3 years of workers' compensation claims adjusting or examining experience.
• Strong knowledge of California workers' compensation laws, regulations, and claims-handling requirements.
• Experience handling claims from initial investigation through litigation and final closure.
• Previous experience within a self-insured environment is highly preferred.
• California Self-Insurance Administrator's Certificate is required, or the ability to obtain the certification within the required timeframe.
• Strong understanding of indemnity benefits, medical management, reserving, litigation, and settlement practices.

Responsibilities

• Manage a caseload of California workers' compensation claims from initial reporting through closure.
• Investigate new claims, evaluate compensability, and determine appropriate benefits in accordance with California workers' compensation regulations.
• Calculate and issue temporary disability, permanent disability, and other applicable indemnity benefits.
• Review medical documentation, treatment recommendations, work restrictions, and disability status to determine appropriate claim activity.
• Coordinate with injured employees, employers, medical providers, attorneys, and other parties throughout the life of the claim.
• Establish appropriate reserves and regularly evaluate claim exposure based on medical, legal, and financial developments.

Skills

California workers' compensation laws

Claim inventory management

Stakeholder communication

Education

California Self-Insurance Administrator's Certificate

Job description

King's Insurance Staffing has a client in Fresno, CA seeking an experienced Workers' Compensation Claims Examiner to manage California claims from assignment to resolution.

The ideal candidate will have 3+ years of CA workers' compensation claims experience, strong knowledge of CA regulations, and the ability to communicate with injured employees, providers, and attorneys. This on-site role offers a $90,000-$110,000 salary plus comprehensive benefits.