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Claims Examiner - Workers Compensation (Hourly)eTeam • Brea, CA, United States
Claims Examiner - Workers Compensation (Hourly)

Claims Examiner - Workers Compensation (Hourly)

eTeam • Brea, CA, United States
2 days ago
Job type
  • Full-time
Job description

Claims Examiner - Workers Compensation (Hourly)

Location: Brea, CA 92821 Duration: 2-3 months

Work location: Remote in California

PRIMARY PURPOSE:

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

Skills:

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
  • Negotiating settlement of claims within designated authority.
  • Communicating claim activity and processing with the claimant and the client.
  • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Education:

Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience Five (5) years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

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Claims Examiner - Workers Compensation (Hourly) • Brea, CA, United States

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