US
Workers' Compensation Claims Examiner/ 2 day(s) ago
San Diego, CA 92101 US
Job Description:
Job Description:Workers' Compensation Claims Examiner
Location: San Diego, CA (Hybrid) | Remote Considered
Employment Type: Temporary: 4-6 months (Possibility for extension or conversion based on business needs)
Pay: $38-$45/hr. DOE
Schedule: 37.5 hours/week | Flexible Schedule
We're seeking an experienced Workers' Compensation Claims Examiner to join a collaborative team managing workers' compensation claims from investigation through resolution. This role offers flexibility, a manageable 37.5-hour workweek, and the opportunity to work with a variety of stakeholders to achieve positive claim outcomes.
Schedule & Work Arrangement
* 37.5-hour workweek
* Flexible schedule
* Hybrid schedule for local employees:
* Remote Mondays and Fridays
* In-office Tuesdays, Wednesdays, and Thursdays
* Fully remote candidates may be considered if located outside the San Diego area
Responsibilities
* Manage a caseload of workers' compensation claims through the full claim lifecycle
* Investigate claims and determine compensability
* Establish and manage claim reserves
* Coordinate with injured workers, employers, attorneys, medical providers, and other stakeholders
* Develop action plans and strategies to move claims toward resolution
* Facilitate return-to-work and modified duty programs
* Review and authorize claim payments within authority limits
* Maintain timely and accurate claim documentation while ensuring regulatory compliance
Qualifications
* 5+ years of workers' compensation claims handling experience
* Strong understanding of workers' compensation laws, regulations, and claims management practices
* Experience managing indemnity claims preferred
* Excellent communication, organizational, and problem-solving skills
* Ability to manage multiple priorities in a fast-paced environment
* Proficiency with Microsoft Office applications
If you're looking for a flexible opportunity with a strong team environment and the ability to make an impact throughout the claims process, we'd love to hear from you.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.
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