Job Title: Claims Examiner – Workers Compensation, CA (Remote)

Primary Purpose of the Role

We are looking for driven individuals that embody our caring model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Responsibilities

• Analyze California workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements.
• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to directions in a professiona...