Senior Workers Compensation Claim Representative - Irvine CA

About the role

Responsible for handling workers' compensation claims, providing support to clients, and ensuring timely resolution of claims.

Responsibilities

• Assessing and processing claims according to company policies and regulations
• Communicating with clients to gather necessary information and resolve issues
• Reviewing medical reports and expert opinions to determine claim validity
• Coordinating with insurance carriers and third-party vendors to facilitate claim settlements
• Updating client files and maintaining accurate records
• Adhering to strict confidentiality guidelines

Requirements

• Bachelor's degree in a related field or equivalent work experience
• At least 2 years of experience in a claims handling role
• Strong communication and interpersonal skills
• Proficiency in Microsoft Office Suite
• Knowledge of workers' compensation laws and regulations

Qualifications

• Excellent problem-solving and decision-making abilities
• Ability to manage multiple tasks simultaneously
• High level of attention to detail
• Flexible schedule to accommodate call-in shifts

Skills

• Claims handling experience
• Medical coding and billing knowledge
• Customer service orientation
• Computer literacy, particularly in Microsoft Office

Benefits

• Competitive salary
• Health, dental, and vision insurance
• Paid time off
• Professional development opportunities

Pay

$50,000 - $60,000 annually

Schedule

Full-time, flexible hours to accommodate call-in shifts