Workers Compensation Claims Examiner | Roseville or Long Beach, CA
$80,000–$100,000 year
Hybrid · Roseville, California, United States or Long Beach, California, United States
Job Summary
Analyze workers' compensation claims on behalf of clients to determine benefits due and adjudicate claims within service expectations and client requirements. Responsibilities include analyzing and processing claims through action plans, investigating information to determine claim exposure, negotiating settlements within designated authority, and communicating claim activity to claimants and clients; reporting to excess carriers and coordinating directions professionally. The role emphasizes exploring settlement options, maintaining service standards, and leveraging a broad network of colleagues and clients to deliver accurate, timely resolutions. The ideal candidate has claims-management experience, a high school diploma or GED, and is familiar with California workers' compensation practices; a Bachelor's degree and professional certifications are preferred. The environment supports flexible scheduling and a comprehensive benefits package.
Required Qualifications
- 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
- Licensing / Jurisdiction Knowledge: California workers' compensation claims experience required
Additional Requirements
- Arrest or conviction records considered
- Fair Chance Ordinances compliance
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