Workers Compensation Claims Examiner | Roseville, CA
$80,000–$100,000 year
HybridRoseville, California, United States
Job Summary
Analyze and process complex or technically difficult California workers' compensation claims by investigating facts to determine exposure and benefits due. Manage claims through well-developed action plans to resolution, negotiating settlements within designated authority and calculating appropriate reserves. Handle high-exposure litigated claims involving rehabilitation, ensuring timely adjudication, state filings, and cost-effective resolution while reporting to excess carriers. Requires four years of California workers' compensation experience, SIP licensing, and hybrid work in Roseville, CA. Starting pay ranges from $80,000 to $100,000.
Required Qualifications
- Four (4) years of workers compensation claims management experience or equivalent combination of education and experience
- California jurisdictional knowledge
- SIP required or must be obtained within one year of hire date
Desired Qualifications
- Bachelor's degree from an accredited college or university
- Professional certification as applicable to line of business
- Experience handling litigated and high-exposure claims
- Understanding of California jurisdictional requirements
- Ability to confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution
- Clear and conceptual thinking ability
- Excellent judgment
- Troubleshooting
- Problem solving
- Analysis
- Discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Hearing
- Vision
- Talking
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