Senior Workers’ Comp Claims Specialist (Complex Cases)

Blue Cross Blue Shield of Michigan; California (MO); On-site; USD 64,900 - 108,700; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking an advanced level claim handler to investigate claims and negotiate settlements. This role demands experience in managing complex claims and mentorship. Candidates should possess relevant education and at least five years in the field, with bilingual abilities preferred. The position is based in California and offers a salary range from $64,900 to $108,700, reflecting the candidate's experience and skills.

Qualifications

• Minimum of five years of experience in workers’ compensation claims.
• Experience in reviewing, investigating, and closing complex claims.
• Bilingual skills preferred.

Responsibilities

• Verifies workers’ compensation coverage of employers.
• Determines compensability under workers’ compensation.
• Negotiates settlements with attorneys or injured parties.

Skills

Investigating claims

Negotiation

Customer service

Analytical skills

Education

Bachelor’s degree in a related field

Certification or progress toward certification

Job description

Blue Cross Blue Shield of Michigan is seeking an advanced level claim handler to investigate claims and negotiate settlements. This role demands experience in managing complex claims and mentorship. Candidates should possess relevant education and at least five years in the field, with bilingual abilities preferred. The position is based in California and offers a salary range from $64,900 to $108,700, reflecting the candidate's experience and skills.