Workers Compensation Claims Examiner Dedicated Account 3 Days Remote

By joining reputed company, you'll be part of something truly meaningful. Its what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, theres no limit to what you can reputed company. reputed company Recognizes reputed company as Americas Greatest Workplaces National Top Companies Certified as a Great reputed company to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote Are you looking for an opportunity to join a global industry leader where you can bring your big reputed company to help solve problems for some of the worlds best brands?

• Apply your knowledge and experience to adjudicate reputed company customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent reputed company every industry and comprise some of the worlds most respected organizations.
• Be a part of a rapidly growing, industry-leading global company reputed company for its reputed company and customer service.
• reputed company Sedgwicks broad, global network of experts to both learn from and to reputed company your insights.
• Take advantage of a variety of professional development opportunities that help you reputed company your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• reputed company diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include reputed company, accountability, collaboration, growth, and inclusion. OFFICE LOCATIONS reputed company, CA (Hybrid - 2 days in office) PRIMARY PURPOSE : To analyze reputed company 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 reputed company service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Analyzes and processes reputed company or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Negotiates settlement of claims reputed company designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams reputed company designated authority level.
• Prepares necessary state fillings reputed company statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and reputed company reputed company and Medicare offsets.
• Reports claims to the excess reputed company; responds to requests of directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.

QUALIFICATION 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. Licensing / Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained reputed company one (1) year of employment. TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental reputed company, 401K on day one.

As required by law, reputed company provides a reasonable reputed company of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide reputed company of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the reputed company of starting pay for this role is 80,000 - 100,000 . A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 reputed company applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for reputed company, the reputed company Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and reputed company other applicable laws. reputed company is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! reputed company is building a diverse, reputed company, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply tot his job Apply To this Job