Senior Claims Examiner – Remote & Flexible Schedule

Athens Administrators, Inc.; California; Hybrid; USD 85,000 - 120,000; Full time

Job summary

Athens Administrators seeks a Senior Claims Examiner for workers' compensation claims in California. The role handles claims from inception to settlement, adjusting reserves, directing medical treatment, and negotiating settlements.

Office presence is required weekly for those within 26 miles of Concord or Orange; otherwise remote with a flex schedule. The candidate should have a strong background in workers' compensation, excellent communication, and the ability to work with attorneys, doctors,

Qualifications

• 3+ years recent workers' compensation claims handling experience
• Proficiency in determining case value and negotiating settlements
• Excellent written and verbal communication skills

Responsibilities

• Establish contact with employer to review issues
• Respond to inquiries from employer, employee, doctors, and attorneys
• Establish and maintain appropriate reserves
• Review medical and legal reports
• Evaluate and approve medical procedures and treatment
• Administer benefits and ensure appropriate payments
• Investigate coverage, liability, and monetary value of claims
• Negotiate settlements and monitor litigation
• Prepare reports for clients and close claims
• Provide guidance to junior staff and train others

Skills

Experience in workers' compensation

Negotiation

Communication

Education

Current Experienced Indemnity Claims Adjuster Designation

High School Diploma or GED

CA Administrators Certificate (preferred)

Tools

MS Office

Job description

Athens Administrators seeks a Senior Claims Examiner for workers' compensation claims in California. The role handles claims from inception to settlement, adjusting reserves, directing medical treatment, and negotiating settlements.

Office presence is required weekly for those within 26 miles of Concord or Orange; otherwise remote with a flex schedule. The candidate should have a strong background in workers' compensation, excellent communication, and the ability to work with attorneys, doctors,