Senior Workers' Comp Claims Specialist - CA Claims

Responsibilities

• Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants.
• Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information.
• Calculate benefit payments and approve payment of Claims within a certain monetary limit.
• Follows appropriate procedures for system documentation to preserve data integrity.
• Maintains regular contact with injured workers, employers and agents to develop positive relationships and establish credibility.
• Create and execute action plans needed to bring case to closure.
• Completes detailed settlement evaluations and recommends appropriate settlement value, within authority; negotiates claim settlements with injured workers and/or injured workers’ attorneys.

Qualifications

• Must have California Workers' Compensation Claims Adjuster Certification/ designation.
• Education: High School Diploma Or equivalent required, Bachelor’s Degree or equivalent required.
• Work Experience: 5+ years Workers’ Compensation Claims handling experience required, CA workers Comp claims experience is a must.
• Knowledge, Skills, And Abilities: Advanced technical workers’ compensation claims knowledge, Strong verbal and written communication skills with emphasis on telephone communication required, Strong math and reading skills required, Meets all state regulatory standards regarding licensing, continuing education, and other requirements.