workers comp claim sr. examiner - california

workers comp claim sr. examiner - california.

• brea , california (remote)

• posted april 30, 2024

job details

summary

• $40 - $45 per hour

• temporary

• bachelor degree

• category business and financial operations occupations

• referenceAB_4525013

job details

Do you have at least 3 years of experience working and analyzing Workers Compensation Claims and decisioning on them in the State of California along with JURIS claims software experience? Do you desire to continue doing what you love from the comfort of your own home? The role involves handling the more complex claims that involve litigation and rehabilitation. You will be gathering information, connecting with multiple touchpoints, analyzing the gathered information, documenting the findings with supporting facts, putting together action plans, and following them through. It is a great opportunity for the professional who has a minimum of 3 years of California Workers' Compensation Claims Representative experience and is looking for a 3-month plus work-from-home consulting opportunity.

salary: $40 - $45 per hour

shift: First

work hours: 8 AM - 5 PM

education: Bachelors

Responsibilities

Analyze complex or technically difficult workers' compensation claims to determine benefits due by working with high-exposure claims involving litigation and rehabilitation. A minimum of 3 years of California Workers Compensation Claims experience and a minimum of 1 year of JURIS claims management system are required.

Accountabilities include

• Reviewing and processing complicated workers' compensation claims

• Handling the high exposure claims involving litigation and rehabilitation action

• Researching and analyzing legal information and facts gathered

• Monitoring the course of claims investigations and utilizing resources to reach claim decisions

• Thoroughly documenting claims decisions

• Developing and coordinating compensation claims' action plans for resolution, return to work, and approval of payments

• Investigating claims to make sure they are not fraudulent

• Negotiating settlements

• Preparing state filings within statutory limits

• Calculating and paying benefits due

• Managing claim recoveries

• Managing records

• Communicating the claim action plan with the claimant and client

Skills

• Client Service

• Detail Orientation

• Coordination

• Confidentiality

• Documentation Skills

• Communication

• Workers Compensation Reporting Claims

• Disability Insurance

• Social Security

• Medicare Compliance

• Microsoft Office (4 years of experience is required)

• Analytical

• Workers Compensation

• Claims

• CA Works Compensation (4 years of experience is required)

• OSIP Certificate (4 years of experience is preferred)

• JURIS-Claim System (2 years of experience is required)

• SIP (2 years of experience is preferred)

Qualifications

• Years of experience: 3 years

• Experience level: Experienced

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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact ~~~.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

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jennifer kleven

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