Workers' Compensation Specialist (los Angeles)
Description
Hiring: Workers Compensation Claims Examiner Location: Remote Duration: 12 Months Contract We are seeking an experienced Workers Compensation Claims Examiner with strong lost time claims experience to join our team remotely. Key Responsibilities: • Analyze and process complex workers’ compensation claims • Investigate claims and determine benefit eligibility and exposure • Manage high-exposure claims involving litigation and rehabilitation • Negotiate settlements within authority limits • Calculate reserves, claim payments, and benefit adjustments • Prepare and submit required state filings within statutory timelines • Coordinate vendor referrals for investigations and litigation management • Manage subrogation, recoveries, Medicare offsets, and related activities • Maintain professional communication with claimants and clients • Ensure accurate documentation and compliance throughout claim lifecycle Required Qualifications: ✔ SIP certification is mandatory ✔ 3+ years of recent workers’ compensation claims experience ✔ Strong experience handling lost time claims ✔ Knowledge of litigation management and claim resolution processes ✔ Excellent communication, analytical, and organizational skills Preferred Qualifications: • Bachelor’s degree from an accredited college or university preferred • Professional certifications related to claims management preferred • 5+ years of claims management experience is a plus Interested candidates, please send your resume to: [email protected]
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Hiring: Workers Compensation Claims Examiner Location: Remote Duration: 12 Months Contract We are seeking an experienced Workers Compensation Claims Examiner with strong lost time claims experience to join our team remotely. Key Responsibilities: • Analyze and process complex workers’ compensation claims • Investigate claims and determine benefit eligibility and exposure • Manage high-exposure claims involving litigation and rehabilitation • Negotiate settlements within authority limits • Calculate reserves, claim payments, and benefit adjustments • Prepare and submit required state filings within statutory timelines • Coordinate vendor referrals for investigations and litigation management • Manage subrogation, recoveries, Medicare offsets, and related activities • Maintain professional communication with claimants and clients • Ensure accurate documentation and compliance throughout claim lifecycle Required Qualifications: ✔ SIP certification is mandatory ✔ 3+ years of recent workers’ compensation claims experience ✔ Strong experience handling lost time claims ✔ Knowledge of litigation management and claim resolution processes ✔ Excellent communication, analytical, and organizational skills Preferred Qualifications: • Bachelor’s degree from an accredited college or university preferred • Professional certifications related to claims management preferred • 5+ years of claims management experience is a plus Interested candidates, please send your resume to: [email protected]
Apply tot his job
Apply To this Job