Senior Workers' Compensation Claims Representative | Remote - King's Insurance Staffing : Job Details

King's Insurance Staffing provided pay range

This range is provided by King's Insurance Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$85,000.00/yr - $105,000.00/yr

Additional compensation types

Annual Bonus

Job Overview

Our client, an A Rated Insurance Carrier, is seeking to add a Remote - Senior California Workers' Compensation Claims Examiner to their organization. This is a newly created position due to their continued growth. The successful candidate will be responsible for handling moderate to complex California Workers' Compensation claims from inception to close. Qualified candidates must possess their California Experienced Adjuster designation and be fully set up to work remotely.

Responsibilities

• Handle mid to complex California Workers Compensation Lost Time claims.
• Manage a pending ranging between 70 – 90 files.
• Investigate claims to determine validity and extent of liability.
• Properly investigate and evaluate each case by corresponding with agents, insureds, claimants, witnesses, and others.
• Coordinate medical treatment for injured workers.
• Review and evaluate documentation, including applications, reports, and statements.
• Ensure legal, regulatory, and fair claims handling compliance.
• Identify claims with subrogation potential and pursue reimbursement.
• Set or recommend reserves based on results of claim investigation.

Requirements

• 3 - 6+ years of California Workers Compensation Lost Time claims handling experience.
• Experience working for an Insurance Carrier or TPA is strongly desired.
• Must have experience handling litigated files.
• Excellent Customer Service and Organizational skills.
• Bachelor's Degree preferred but not required.

Salary and Benefits

• $85,000 to $105,000 annual base salary plus bonus.
• Ability to work from home.
• Competitive Medical, Dental, Vision, and Life plans.
• Employer matching 401(k) plan.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Other
• Industries: Insurance Carriers, Insurance, Claims Adjusting, Actuarial Services

Referrals increase your chances of interviewing at King's Insurance Staffing by 2x.

Inferred Benefits

401(k), Vision insurance, Medical insurance, Paid maternity leave, Tuition assistance, Paid paternity leave, Disability insurance, Student loan assistance.

Get notified about new Claims Examiner jobs in California, United States.

#J-18808-Ljbffr