Senior Workers' Comp Claims Analyst

Synectics Inc.; Rancho Cucamonga (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Healthcare Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Equal Opportunity Employer

Job summary

Synectics Inc. in California seeks an experienced Workers' Compensation Claims Manager to analyze complex claims, determine benefits, and manage litigation and subrogation. You will develop action plans, reserve adequacy, and ensure timely settlements within authority.

The ideal candidate has a Bachelor's degree (preferred), SIP certification, 5+ years of claims management, and 3+ years of workers' comp experience; California Fair Chance Act considerations apply; travel as required.

Qualifications

• Bachelor's degree preferred.
• Professional certification relevant to line of business preferred.
• Five (5) years of claims management experience or equivalent required.
• SIP is mandatory.
• 3+ years of workers' compensation experience.

Responsibilities

• Analyze complex or technically difficult workers' compensation claims to determine benefits and ensure adjudication.
• Manage claims through action plans to timely resolution, including litigation and subrogation.
• Negotiate settlements within designated authority and ensure proper reserves.
• Calculate and assign reserves and oversee payments and adjustments.
• Coordinate vendor referrals for investigation or litigation management.
• Ensure proper documentation and coding of claim files and maintain client relationships.

Skills

Claims management

Litigation coordination

Subrogation

Negotiation

Education

Bachelor's degree preferred

Professional certification relevant to line of business preferred

Job description

Synectics Inc. in California seeks an experienced Workers' Compensation Claims Manager to analyze complex claims, determine benefits, and manage litigation and subrogation. You will develop action plans, reserve adequacy, and ensure timely settlements within authority.

The ideal candidate has a Bachelor's degree (preferred), SIP certification, 5+ years of claims management, and 3+ years of workers' comp experience; California Fair Chance Act considerations apply; travel as required.